Herrera, Jun Manalo

Herrera, Jun Manalo is an individual health care provider with primary practice located at 1406 Sixth Avenue North , St Cloud MN 56303-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Herrera, Jun Manalo can be contacted via phone (612) 262-1166.

Contact Information

Primary practice address
1406 Sixth Avenue North St Cloud MN 56303-1901
Phone: (612) 262-1166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 43953 Minnesota

Profile Details

NPI number 1396759569
LBN Legal business name Herrera, Jun Manalo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 10th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396759569 NPPES
Minnesota MEDICAID 928151700

Popular Providers