National Provider Identifier Database

PEDIATRIC ASSOCIATES OF MANHATTAN P A
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
1133 COLLEGE AVE
SUITE G-210
MANHATTAN, KS66502-2770
Phone: 785-537-9030
Fax: 785-537-3334
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.

NPI Number 1093802456
Legal business name
LBN
PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
Authorized official DOROTHY TRUITT - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/06/2006
Last updated 03/18/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 100087970A
  • KS Other: 0000003920 BLUE SHIELD

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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