Vallejo, Manuel C

Vallejo, Manuel C is an individual health care provider with primary practice located at 1322 Pineview Dr , Morgantown WV 26505-0710. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Vallejo, Manuel C can be contacted via phone (304) 598-3100.

Contact Information

Primary practice address
1322 Pineview Dr Morgantown WV 26505-0710
Phone: (304) 598-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DS025489L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD058203L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25529 West Virginia

Profile Details

NPI number 1932175528
LBN Legal business name Vallejo, Manuel C
Credentials MD,DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932175528 NPPES
Pennsylvania MEDICAID 001600607

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