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Contact Information

JOANNA S MANUM, PA-C
181 FRANKLIN HEALTH COMMONS
FARMINGTON, ME04938
 Phone: 801-581-8419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOANNA S MANUM · (Female)

NPI Number 1326386228
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/28/2013
Last updated 09/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PA2388
  • PA License # MA055963
  • UT License # 6742502-1206
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
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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