Mann, Willard Kenneth

Mann, Willard Kenneth is an sole proprietor health care provider with primary practice located at 5500 Prytania St # 235 , New Orleans LA 70115-4221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mann, Willard Kenneth can be contacted via phone (504) 867-2200.

Contact Information

Primary practice address
5500 Prytania St # 235 New Orleans LA 70115-4221
Fax: (800) 619-0163
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 018257 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.018257 Louisiana

Profile Details

NPI number 1184738585
LBN Legal business name Mann, Willard Kenneth
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Apr 12th, 2023 - about 3 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 1184738585 NPPES
Louisiana MEDICAID 1367575
Louisiana MEDICAID 03328769

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