Manicone, John
Manicone, John is an individual health care provider with primary practice located at 225 Millburn Ave Suite 104B, Millburn NJ 07041-1737. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Manicone, John can be contacted via phone (973) 379-5888.Contact Information
Primary practice address
225 Millburn Ave Suite 104B
Millburn NJ 07041-1737
Phone: (973) 379-5888
Fax: (973) 912-9757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA05569400 | New Jersey |
Profile Details
| NPI number | 1518967249 |
|---|---|
| LBN Legal business name | Manicone, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Sep 14th, 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 | 1518967249 | NPPES |
| New Jersey | Other | 0K3218 | HEALTHNET # |
| New Jersey | Other | 5710066 | HEALTHNET # |
| New Jersey | Other | 1059497 | HEALTHNET # |
| New Jersey | MEDICAID | 6893201 | HEALTHNET # |
| New Jersey | Other | 0526328000 | HEALTHNET # |
| New Jersey | Other | 575898 | HEALTHNET # |
| New Jersey | Other | 5093166 | HEALTHNET # |
| New Jersey | Other | 84168 | HEALTHNET # |
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