Manzano, Vicki

Manzano, Vicki is an individual health care provider with primary practice located at 2154 Commons Pkwy , Okemos MI 48864-3986. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manzano, Vicki can be contacted via phone (517) 706-0444.

Contact Information

Primary practice address
2154 Commons Pkwy Okemos MI 48864-3986
Phone: (517) 706-0444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101008025 Michigan

Profile Details

NPI number 1124006259
LBN Legal business name Manzano, Vicki
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 17th, 2008 - about 18 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 1124006259 NPPES
Michigan Other 0100575 PHYSICIANS HEALTH PLAN
Michigan Other E50170 PHYSICIANS HEALTH PLAN
Michigan Other 202330 PHYSICIANS HEALTH PLAN
Michigan MEDICAID 3424975 PHYSICIANS HEALTH PLAN
Michigan Other 202330 PHYSICIANS HEALTH PLAN
Michigan Other 5768069 PHYSICIANS HEALTH PLAN

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