Phouthachack, Manhouly
Phouthachack, Manhouly is an individual health care provider with primary practice located at 839 Farmington Ave , Bristol CT 06010-3922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phouthachack, Manhouly can be contacted via phone (866) 389-2727.Contact Information
Primary practice address
839 Farmington Ave
Bristol CT 06010-3922
Phone: (866) 389-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 004098 | Connecticut |
Profile Details
| NPI number | 1295965481 |
|---|---|
| LBN Legal business name | Phouthachack, Manhouly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Jul 21st, 2022 - about 4 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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