Manning, Benjamin Jacobs

Manning, Benjamin Jacobs is an individual health care provider with primary practice located at 165 Shipyard Boulevard , Wilmington NC 28412-6431. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Manning, Benjamin Jacobs can be contacted via phone (919) 360-7247.

Contact Information

Primary practice address
165 Shipyard Boulevard Wilmington NC 28412-6431
Phone: (919) 360-7247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1148 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005931 North Carolina

Profile Details

NPI number 1992837058
LBN Legal business name Manning, Benjamin Jacobs
Credentials MSW, LCAS, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 18th, 2015 - about 11 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 1992837058 NPPES
North Carolina MEDICAID 6007254
North Carolina Other 14742

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