Manchester, Mary
Manchester, Mary is an sole proprietor health care provider with primary practice located at 9110 Shoshone Rd Ne Sombra Del Monte Es, Albuquerque NM 87111-4786. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Manchester, Mary can be contacted via phone (505) 291-6842.Contact Information
Primary practice address
9110 Shoshone Rd Ne Sombra Del Monte Es
Albuquerque NM 87111-4786
Phone: (505) 291-6842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1291 | New Mexico |
Profile Details
| NPI number | 1932235819 |
|---|---|
| LBN Legal business name | Manchester, Mary |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1932235819 | NPPES |
| New Mexico | MEDICAID | L 7136 |
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