Mansfield, Michael J.

Mansfield, Michael J. is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mansfield, Michael J. can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1765 Old West Broad St Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT011501 Georgia

Profile Details

NPI number 1376945543
LBN Legal business name Mansfield, Michael J.
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2014
Last updated Jun 8th, 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 1376945543 NPPES
Other 12798975 CAQH NUMBER

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