Mandich, Mary Beth

Mandich, Mary Beth is an individual health care provider with primary practice located at 1 Medical Center Drive 1206 Health Science Center South, Morgantown WV 26506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mandich, Mary Beth can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Medical Center Drive 1206 Health Science Center South Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 293-6963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 000374 West Virginia

Profile Details

NPI number 1144296799
LBN Legal business name Mandich, Mary Beth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144296799 NPPES
West Virginia MEDICAID 3810000455

Popular Providers