MANUEL LUIS MANALO (NPI# 1053527655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053527655 |
| Entity Type | Individual |
| Full Name | MANUEL LUIS MANALO |
| Credential | R.N. |
| Practice Address |
1098 S State Road 25 Logansport IN 46947-6723 |
| Mailing Address |
7119 E Co Rd 150 N Logansport IN 46947 |
| Practice Telephone | 5747224141 |
| Mailing Telephone | 5747356808 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
28096714A | IN | Nursing Service Providers |
| Street Address |
1098 S STATE ROAD 25 |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902856768 | State of Indiana, Auditor of State | Intermediate Care Facility, Mentally Retarded | 1098 S State Road 25, Logansport, IN 46947-6723 | 2006-05-11 |
| 1639679947 | Megan Elizabeth Shaal | Psychologist | 1098 S State Road 25, Logansport, IN 46947-6723 | 2018-02-14 |
| 1134468739 | Bryce Call | Pharmacist | 1098 S State Road 25, Logansport, IN 46947-6723 | 2013-02-04 |
| 1104081702 | Chad E Davis | Nurse Practitioner | 1098 S State Road 25, Logansport, IN 46947-6723 | 2008-07-23 |
| 1225224322 | Gregory C. Bell | Dentist | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-09-21 |
| 1861511370 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-28 |
| 1376660027 | State of Indiana, Auditor of State | Pharmacy | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-26 |
| 1659498731 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-23 |
| 1932233426 | Douglas R Morris | Psychiatry & Neurology | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-15 |
| 1295878478 | Dexter L. Fields | Psychiatry & Neurology | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932454220 | Teresa Ann Long | Registered Nurse | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2012-07-23 |
| 1568697738 | Kristina Lynn Schmiege | Registered Nurse | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2009-05-18 |
| 1821237058 | Rachel Marie Brown | Registered Nurse | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2009-02-11 |
| 1912184367 | Heather B Spencer | Registered Nurse | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886957 | Jessica Lynn Walsh | Registered Nurse | 4910 Oakbrook Ct, Indianapolis, IN 46254-1116 | 2020-03-16 |
| 1194361352 | Cassandra Jo Lind | Registered Nurse | 2521 Cardinal Dr, Pittsboro, IN 46167-9559 | 2019-11-22 |
| 1831506922 | Kimberli Galloway | Registered Nurse | 127 Winding Creek Ct, Fishers, IN 46038-1075 | 2014-07-21 |
| 1245470830 | Judith Scharnak | Registered Nurse | 6655 East Us 36, Avon, IN 46123 | 2009-02-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1841467859 | Dana L Porter Brown | Registered Nurse | 1 N Barker Ave, Evansville, IN 47712-5601 | 2008-05-09 |
| 1528170842 | Caroline Virginia Voors | Registered Nurse | 1615 Vance Ave, Lmvfm, Fort Wayne, IN 46805 | 2006-08-31 |
| 1083648083 | Susan Jeanine Slone | Registered Nurse | 258 Meadow Dr, Danville, IN 46122 | 2006-07-10 |
| 1306897913 | Kathy Santon | Registered Nurse | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2006-05-16 |
| 1316910367 | Thelma Lynn Young-bolden | Registered Nurse | 4323 E 3rd St, Bloomington, IN 47401-5551 | 2006-02-09 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
Please comment or provide details below to improve the information on MANUEL LUIS MANALO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.