Mankoff, Robert Grenfell
Mankoff, Robert Grenfell is an individual health care provider with primary practice located at 4000 Blue Ridge Rd Suite 200, Raleigh NC 27612-4650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Mankoff, Robert Grenfell can be contacted via phone (919) 782-4981.Contact Information
Primary practice address
4000 Blue Ridge Rd Suite 200
Raleigh NC 27612-4650
Phone: (919) 782-4981
Fax: (919) 782-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1963 | North Carolina |
Profile Details
| NPI number | 1104951136 |
|---|---|
| LBN Legal business name | Mankoff, Robert Grenfell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| 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 | 1104951136 | NPPES |
| North Carolina | MEDICAID | 6000666 |
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