Mann, Clinton Thomas

Mann, Clinton Thomas is an individual health care provider with primary practice located at 2432 W Peoria Ave Ste 1114 , Phoenix AZ 85029-4732. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mann, Clinton Thomas can be contacted via phone (602) 999-0028.

Contact Information

Primary practice address
2432 W Peoria Ave Ste 1114 Phoenix AZ 85029-4732
Phone: (602) 999-0028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 86-0586210 Arizona

Profile Details

NPI number 1699495549
LBN Legal business name Mann, Clinton Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 4 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 1699495549 NPPES
Arizona Other D05124188 IDENTIFICATION CARD

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