Provider Demographics
NPI:1598902934
Name:MANIGAULT & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MANIGAULT & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:MANIGAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-680-1306
Mailing Address - Street 1:1190 ALAMO PINTADO RD
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-9760
Mailing Address - Country:US
Mailing Address - Phone:866-484-0658
Mailing Address - Fax:866-484-0668
Practice Address - Street 1:1190 ALAMO PINTADO RD
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-9760
Practice Address - Country:US
Practice Address - Phone:866-484-0658
Practice Address - Fax:866-484-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty