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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881658490 NPPES
Alabama MEDICAID 000011168
Alabama Other 051011168

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