Mann Wellness, Inc | |
1313 Travis Blvd Ste B Fairfield CA 94533-4621 | |
(650) 243-7569 | |
Not Available |
Full Name | Mann Wellness, Inc |
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Speciality | Clinic/Center |
Location | 1313 Travis Blvd Ste B, Fairfield, California |
Authorized Official Name and Position | Raheel Mann (CEO) |
Authorized Official Contact | 6502437569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mann Wellness, Inc 1313 Travis Blvd Ste B Fairfield CA 94533-4621 Ph: (650) 243-7569 | Mann Wellness, Inc 1313 Travis Blvd Ste B Fairfield CA 94533-4621 Ph: (650) 243-7569 |
NPI Number | 1427639467 |
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Provider Enumeration Date | 04/20/2021 |
Last Update Date | 04/20/2021 |
Medicare PECOS PAC ID | 3072916956 |
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Medicare Enrollment ID | O20210729002938 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427639467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Raheel A Mann |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255676300 PECOS PAC ID: 8921244500 Enrollment ID: I20141106002572 |
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