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Contact Information

MARK W MANCEBO
429 N. CHURCH STREET
SPARTANBURG, SC29303
 Phone: 864-597-4458
 Fax: 864-597-4484
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARK W MANCEBO · (Male)

NPI Number 1891936449
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2009
Last updated 03/11/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 965
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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