Manela, Suphaphorn

Manela, Suphaphorn is an individual health care provider with primary practice located at 50 Bartlett Ave , Belmont MA 02478-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manela, Suphaphorn can be contacted via phone (781) 354-6004.

Contact Information

Primary practice address
50 Bartlett Ave Belmont MA 02478-1808
Phone: (781) 354-6004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F08200091 Massachusetts

Profile Details

NPI number 1679185284
LBN Legal business name Manela, Suphaphorn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Aug 22nd, 2020 - about 6 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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