Provider Demographics
NPI:1225215965
Name:STANLEY IRWIN MANNING
Entity Type:Organization
Organization Name:STANLEY IRWIN MANNING
Other - Org Name:A-1 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:IRWIN
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-462-9925
Mailing Address - Street 1:5820 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-3318
Mailing Address - Country:US
Mailing Address - Phone:805-462-9925
Mailing Address - Fax:805-462-9927
Practice Address - Street 1:5820 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-3318
Practice Address - Country:US
Practice Address - Phone:805-462-9925
Practice Address - Fax:805-462-9927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46795332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5868730001Medicare NSC