Mannick, Joan B

Mannick, Joan B is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Infectious Disease, Worcester MA 01655-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mannick, Joan B can be contacted via phone (508) 856-7511.

Contact Information

Primary practice address
55 Lake Ave N Department Of Infectious Disease Worcester MA 01655-0002
Phone: (508) 856-7511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 60494 Massachusetts

Profile Details

NPI number 1033191101
LBN Legal business name Mannick, Joan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033191101 NPPES
Massachusetts MEDICAID 3118207

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