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Contact Information

ALAN MANNHEIMER, MD
407 S SCHWARTZ AVE STE 201
FARMINGTON, NM87401-5925
 Phone: 505-609-6700
 Fax: 505-609-2259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALAN MANNHEIMER · (Male)

NPI # 1679717789
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2009
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A95367
  • FL License # ME114820
  • NC License # 2013-00527
  • NM License # 2003-0483
  • VA License # 0101277209
  • FL Medicaid 007868100
  • NC Medicaid 1679717789
  • SC Medicaid NC2050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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