Mancl, Tara Beth

Mancl, Tara Beth is an individual health care provider with primary practice located at 109 Bridge St Ste 202 , Danville VA 24541-1222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Mancl, Tara Beth can be contacted via phone (434) 792-5964.

Contact Information

Primary practice address
109 Bridge St Ste 202 Danville VA 24541-1222
Phone: (434) 792-5964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301085737 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301085737 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101263573 Virginia

Profile Details

NPI number 1467655779
LBN Legal business name Mancl, Tara Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Mar 17th, 2018 - about 8 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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