Eustace, Manoharan W
Eustace, Manoharan W is an sole proprietor health care provider with primary practice located at 1032 N Irish Rd , Davison MI 48423-2209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eustace, Manoharan W can be contacted via phone (810) 658-2131.Contact Information
Primary practice address
1032 N Irish Rd
Davison MI 48423-2209
Phone: (810) 658-2131
Fax: (810) 658-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME056842 | Michigan |
Profile Details
| NPI number | 1487614723 |
|---|---|
| LBN Legal business name | Eustace, Manoharan W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Nov 11th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487614723 | NPPES |
| Michigan | Other | 3E22022 | HEALTH PLUS |
| Michigan | Other | C3246 | HEALTH PLUS |
| Michigan | Other | 110250037 | HEALTH PLUS |
| Michigan | MEDICAID | 4203754 | HEALTH PLUS |
| Michigan | Other | 0250037 | HEALTH PLUS |
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