Manning, Jerry Ray
Manning, Jerry Ray is an individual health care provider with primary practice located at 1055 Piney Forest Rd Suite A, Danville VA 24540-4154. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Manning, Jerry Ray can be contacted via phone (434) 836-2905.Contact Information
Primary practice address
1055 Piney Forest Rd Suite A
Danville VA 24540-4154
Phone: (434) 836-2905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH13241 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104556602 | Virginia |
Profile Details
| NPI number | 1881864569 |
|---|---|
| LBN Legal business name | Manning, Jerry Ray |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2008 |
| Last updated | Jan 15th, 2021 - about 5 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 | 1881864569 | NPPES |
| Other | C05545 | GROUP PTAN | |
| MEDICAID | 1881864569 | GROUP PTAN |
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