Manginelli, Stephanie C

Manginelli, Stephanie C is an individual health care provider with primary practice located at 303 Med Tech Pkwy Suite 150, Johnson City TN 37604-2364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manginelli, Stephanie C can be contacted via phone (423) 282-8070.

Contact Information

Primary practice address
303 Med Tech Pkwy Suite 150 Johnson City TN 37604-2364
Phone: (423) 282-8070
Fax: (423) 282-8550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000025987 Tennessee

Profile Details

NPI number 1225010010
LBN Legal business name Manginelli, Stephanie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 19th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225010010 NPPES
Tennessee Other 3122084 BLUE CROSS BLUE SHEILD
Tennessee MEDICAID 3830484 BLUE CROSS BLUE SHEILD
Tennessee MEDICAID 3830487 BLUE CROSS BLUE SHEILD
Tennessee Other 5470176 BLUE CROSS BLUE SHEILD

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