Manning, Mark Alan

Manning, Mark Alan is an individual health care provider with primary practice located at 124 Sagamore Pkwy West , West Lafayette IN 47906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Manning, Mark Alan can be contacted via phone (765) 463-6722.

Contact Information

Primary practice address
124 Sagamore Pkwy West West Lafayette IN 47906
Phone: (765) 463-6722
Fax: (765) 463-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60520310 Washington

Profile Details

NPI number 1699171215
LBN Legal business name Manning, Mark Alan
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2014
Last updated Aug 4th, 2016 - about 10 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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