Manning, Jodi
Manning, Jodi is an individual health care provider with primary practice located at 303 George St , New Brunswick NJ 08901-2020. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Manning, Jodi can be contacted via phone (732) 235-6800.Contact Information
Primary practice address
303 George St
New Brunswick NJ 08901-2020
Phone: (732) 235-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05637100 | New Jersey |
Profile Details
| NPI number | 1568832442 |
|---|---|
| LBN Legal business name | Manning, Jodi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 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 | 1568832442 | NPPES |
| New Jersey | MEDICAID | 4144007 |
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