Manuel, Ernesto
Manuel, Ernesto is an sole proprietor health care provider with primary practice located at 396 Dingess St , Logan WV 25601-3624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manuel, Ernesto can be contacted via phone (304) 831-1700.Contact Information
Primary practice address
396 Dingess St
Logan WV 25601-3624
Phone: (304) 831-1700
Fax: (304) 831-1726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14503 | West Virginia |
Profile Details
| NPI number | 1114981024 |
|---|---|
| LBN Legal business name | Manuel, Ernesto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Mar 18th, 2014 - about 12 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 | 1114981024 | NPPES |
| West Virginia | MEDICAID | 0057545000 |
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