Manuel MC LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MANUEL MC LLC

Practice address

28803 8 Mile Rd
103
Livonia, MI 48152-2074

Phone

(248) 636-9636

NPI assigned

Jul 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Henry M Briceno

Title

President

Phone

(248) 696-9636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan A Agbebiyi, MD.,CMHT.,MBA.

  • Obstetrics & Gynecology Physician
  • Southfield, MI
  • NPI 1588734081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1275798951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28803 8 MILE RD",
            "address_2": "103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522074",
            "telephone_number": "248-636-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28803 8 MILE RD",
            "address_2": "103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522074",
            "telephone_number": "248-636-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BRICENO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-696-9636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alielhadi Mansour
• Alisya Mansour
• Issam Nabeeh Mansour, DPM
• Olivia Lauren Manta
• Manuel J Kaner DDS PC
• Ebony Manuel, LLPC
• Steven Manza, LMSW, CADC
• Maple Dentistry PLLC
• Jason Michael Maples
• Alisa Mapp

• Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.