Mancuso, Stephen J
Mancuso, Stephen J is an individual health care provider with primary practice located at 2921 13Th Street , Columbus NE 68601-4829. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mancuso, Stephen J can be contacted via phone (402) 564-7180.Contact Information
Primary practice address
2921 13Th Street
Columbus NE 68601-4829
Phone: (402) 564-7180
Fax: (402) 564-7042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5734 | Nebraska |
Profile Details
| NPI number | 1801900295 |
|---|---|
| LBN Legal business name | Mancuso, Stephen J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 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 | 1801900295 | NPPES |
| Nebraska | MEDICAID | 47055108713 |
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