Mannuel, Heather D

Mannuel, Heather D is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Mannuel, Heather D can be contacted via phone (410) 328-2567.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-2567
Fax: (410) 328-0248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D0057936 Maryland

Profile Details

NPI number 1720047129
LBN Legal business name Mannuel, Heather D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 7th, 2011 - about 15 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 1720047129 NPPES
Maryland Other S053-0058 BC/BS REGIONAL
Maryland MEDICAID 409075600 BC/BS REGIONAL
Maryland Other 647223-01 BC/BS REGIONAL

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