Victor John Manzon in Portage - Clinical

Victor John Manzon - NPI 1790904969

Victor John Manzon is a Clinical in Portage, Michigan. Victor John Manzon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Victor John Manzon is 1790904969. The last update date is 2011-11-19.

Victor John Manzon's current location address is P.o. Box 2588, Portage, Michigan. You can contact this provider via phone number 2693414422 and fax number 2693414433. The mailing address for Victor John Manzon is P.o. Box 2588, Portage, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Victor John Manzon
Address P.o. Box 2588, Portage, Michigan
Phone Number 2693414422
Fax Number 2693414433
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1790904969
Provider Enumeration Date 2007-04-25
Last Updated Date 2011-11-19

Provider Mailing Address Detail

Address P.o. Box 2588
City Portage
State Michigan (MI)
Post Code 490812588
Phone Number 2693414422
Fax Number 2693414433

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801059772
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Victor John Manzon

What is the unique 10-digit identifier code issued to Victor John Manzon by the Centers for Medicare & Medicaid Services?

The Victor John Manzon has been assigned the NPI (National Provider Identifier) 1790904969 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Victor John Manzon is located?

The Victor John Manzon is situated at the following address: P.O. Box 2588, Portage, MI, 490812588.

What is Victor John Manzon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Victor John Manzon is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date was the 1790904969 assigned to Victor John Manzon?

The Victor John Manzon was issued its 1790904969 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Victor John Manzon most recently updated or revised?

The information pertaining to Victor John Manzon, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-19.

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