Boyle-Manganaro, Maureen A

Boyle-Manganaro, Maureen A is an individual health care provider with primary practice located at 201 Ridge St Ste 312, Council Bluffs IA 51503-4643. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Boyle-Manganaro, Maureen A can be contacted via phone (712) 396-7880.

Contact Information

Primary practice address
201 Ridge St Ste 312 Council Bluffs IA 51503-4643
Phone: (712) 396-7880
Fax: (712) 396-7885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28036 Nebraska
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2001005627 Missouri
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD-43345 Iowa

Profile Details

NPI number 1245255934
LBN Legal business name Boyle-Manganaro, Maureen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 7th, 2017 - about 9 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 1245255934 NPPES
Missouri Other 465449 CHILDRENS MERCY FAMILY HEALTH
Missouri MEDICAID 47068731777 CHILDRENS MERCY FAMILY HEALTH
Missouri Other 476709 CHILDRENS MERCY FAMILY HEALTH
Missouri Other P00036242 CHILDRENS MERCY FAMILY HEALTH
Missouri Other 414770 CHILDRENS MERCY FAMILY HEALTH
Missouri Other 44054528964506V018 CHILDRENS MERCY FAMILY HEALTH
Missouri Other 5897653 CHILDRENS MERCY FAMILY HEALTH
Missouri Other 10001545401 CHILDRENS MERCY FAMILY HEALTH
Missouri MEDICAID 100402030B CHILDRENS MERCY FAMILY HEALTH
Missouri MEDICAID 1245255934 CHILDRENS MERCY FAMILY HEALTH
Missouri MEDICAID 10026301600 CHILDRENS MERCY FAMILY HEALTH
Missouri Other 29689029 CHILDRENS MERCY FAMILY HEALTH
Missouri MEDICAID 10026211300 CHILDRENS MERCY FAMILY HEALTH

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