Sierra, Manuel
Sierra, Manuel is an individual health care provider with primary practice located at 1740 E 17Th St Suite A, Idaho Falls ID 83404-6375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Sierra, Manuel can be contacted via phone (208) 346-7500.Contact Information
Primary practice address
1740 E 17Th St Suite A
Idaho Falls ID 83404-6375
Phone: (208) 346-7500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A85395 | California |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | M10460 | Idaho |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 227980 | Massachusetts |
Profile Details
NPI number | 1861467375 |
---|---|
LBN Legal business name | Sierra, Manuel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2006 |
Last updated | May 28th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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