Manduano, Joey M
Manduano, Joey M is an sole proprietor health care provider with primary practice located at 2219 E 21St St , Tulsa OK 74114-1411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Manduano, Joey M can be contacted via phone (918) 749-5522.Contact Information
Primary practice address
2219 E 21St St
Tulsa OK 74114-1411
Phone: (918) 749-5522
Fax: (918) 747-5522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 1628 | Oklahoma |
Profile Details
| NPI number | 1578548475 |
|---|---|
| LBN Legal business name | Manduano, Joey M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| 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 | 1578548475 | NPPES |
| Oklahoma | Other | 731047122001 | BCBS OF OKLAHOMA |
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