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SHEILA R MANE MD PC NPI 1366512444


NPI Information

NPI: 1366512444
Provider Name: SHEILA R MANE MD PC

Doing Business As: SHEILA R MANE MD PC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1730 E BEVERLY AVE
KINGMAN, AZ
ZIP 86409
Phone: (928) 681-3960
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SHEILA R MANE MD PC is a non pharmacy dispensing site in Kingman, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SHEILA R MANE MD PC NPI is 1366512444. The provider is registered as an organization entity type.
The provider Is Doing Business As Sheila R Mane Md Pc.

The provider's business location address is:

1730 E BEVERLY AVE
KINGMAN, AZ
ZIP 86409-500
Phone: (928) 681-3960
Fax: (928) 869-0067

The provider's authorized official is Direndia Shackelford .
The authorized official title is Managed Care Specialist and has the following contact phone number (800) 654-0889.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site27651ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1474742MEDICAIDARIZONA
20352815OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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