Manning, Henry A
Manning, Henry A is an individual health care provider with primary practice located at 2400 Bellevue Rd 16 Erin Ofc Park, Dublin GA 31021-2885. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Manning, Henry A can be contacted via phone (478) 275-7546.Contact Information
Primary practice address
2400 Bellevue Rd 16 Erin Ofc Park
Dublin GA 31021-2885
Phone: (478) 275-7546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003255 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003255 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 003255 | Georgia |
Profile Details
| NPI number | 1164416335 |
|---|---|
| LBN Legal business name | Manning, Henry A |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Mar 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164416335 | NPPES |
| Georgia | MEDICAID | 553969817C | |
| Georgia | Other | DC4061 |
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