Manakas, Michael

Manakas, Michael is an individual health care provider with primary practice located at 2421 Laporte Ave , Valparaiso IN 46383-6914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manakas, Michael can be contacted via phone (219) 462-6192.

Contact Information

Primary practice address
2421 Laporte Ave Valparaiso IN 46383-6914
Phone: (219) 462-6192
Fax: (219) 464-2585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02000642 Indiana

Profile Details

NPI number 1023015385
LBN Legal business name Manakas, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated May 2nd, 2013 - about 12 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 1023015385 NPPES
Indiana Other 000000721918 ANTHEM TRADITIONAL
Indiana MEDICAID 100434540 ANTHEM TRADITIONAL

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