Mark Joel Mannis in Sacramento - Specialist
Mark Joel Mannis - NPI 1205811510
Mark Joel Mannis is a Specialist in Sacramento, California. Mark Joel Mannis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Joel Mannis is 1205811510. The last update date is 2011-12-12.
Mark Joel Mannis's current location address is 4860 Y St, Sacramento, California. You can contact this provider via phone number 9167346957 and fax number 9167346197. The mailing address for Mark Joel Mannis is 4860 Y St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Joel Mannis |
|---|---|
| Address | 4860 Y St, Sacramento, California |
| Phone Number | 9167346957 |
| Fax Number | 9167346197 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205811510 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
| Address | 4860 Y St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958172307 |
| Phone Number | 9167346957 |
| Fax Number | 9167346197 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR002104I | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Joel Mannis by the Centers for Medicare & Medicaid Services?
The Mark Joel Mannis has been issued the NPI (National Provider Identifier) 1205811510, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Joel Mannis's facilities are situated?
The facilities of Mark Joel Mannis are physically located at the following address: 4860 Y St, Sacramento, CA, 958172307.
What is the area of specialization for Mark Joel Mannis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Joel Mannis is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205811510 to Mark Joel Mannis?
The Centers for Medicare & Medicaid Services originally issued the 1205811510 to Mark Joel Mannis on 2005-12-08.
As of what date were the details related to Mark Joel Mannis most recently updated or revised?
The information pertaining to Mark Joel Mannis, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-12.