Manship, Mark Edward

Manship, Mark Edward is an individual health care provider with primary practice located at 1366 N Gardner St Ste 140, Scottsburg IN 47170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Manship, Mark Edward can be contacted via phone (812) 752-7444.

Contact Information

Primary practice address
1366 N Gardner St Ste 140 Scottsburg IN 47170
Phone: (812) 752-7444
Fax: (812) 752-6855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01028150A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01028150A Indiana

Profile Details

NPI number 1609850403
LBN Legal business name Manship, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 6th, 2019 - about 7 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 1609850403 NPPES
Indiana MEDICAID 100331030
Indiana Other 000000295943

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