Manning, Thomas Crellin

Manning, Thomas Crellin is an individual health care provider with primary practice located at 6140 W Curtisian Ave Ste 400 , Boise ID 83704-8907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Manning, Thomas Crellin can be contacted via phone (208) 327-5600.

Contact Information

Primary practice address
6140 W Curtisian Ave Ste 400 Boise ID 83704-8907
Phone: (208) 327-5600
Fax: (208) 327-5602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M9928 Idaho

Profile Details

NPI number 1861501637
LBN Legal business name Manning, Thomas Crellin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 9th, 2022 - about 4 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 1861501637 NPPES
Other 8944944 CRIMES VICTIMS
MEDICAID 1861501637 CRIMES VICTIMS
Other 20140 CRIMES VICTIMS
Other 006154 CRIMES VICTIMS
Other 0222532 CRIMES VICTIMS
Other 100001035500 CRIMES VICTIMS

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