Mantle, John A
Mantle, John A is an sole proprietor health care provider with primary practice located at 701 University Blvd E Suite 400, Tuscaloosa AL 35401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mantle, John A can be contacted via phone (205) 752-0694.Contact Information
Primary practice address
701 University Blvd E Suite 400
Tuscaloosa AL 35401
Phone: (205) 752-0694
Fax: (205) 752-6244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6043 | Alabama |
Profile Details
| NPI number | 1881658490 |
|---|---|
| LBN Legal business name | Mantle, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Oct 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881658490 | NPPES |
| Alabama | MEDICAID | 000011168 | |
| Alabama | Other | 051011168 |
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