Fonseca, Manuel Antonio
Fonseca, Manuel Antonio is an individual health care provider with primary practice located at 1925 Hoffmeyer Rd , Florence SC 29501-4011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fonseca, Manuel Antonio can be contacted via phone (843) 679-4214.Contact Information
Primary practice address
1925 Hoffmeyer Rd
Florence SC 29501-4011
Phone: (843) 679-4214
Fax: (843) 674-5146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0419 | South Carolina |
Profile Details
| NPI number | 1790769396 |
|---|---|
| LBN Legal business name | Fonseca, Manuel Antonio |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jan 28th, 2025 - about last year |
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 | 1790769396 | NPPES |
| South Carolina | MEDICAID | 004195 |
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