Provider Demographics
NPI:1659482347
Name:ALBERT SM MANLAPIT M.D. PLLC
Entity Type:Organization
Organization Name:ALBERT SM MANLAPIT M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MANLAPIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-797-2663
Mailing Address - Street 1:5453 HAMPTON PLACE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-8213
Mailing Address - Country:US
Mailing Address - Phone:989-797-2663
Mailing Address - Fax:989-797-4263
Practice Address - Street 1:5453 HAMPTON PL
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9284
Practice Address - Country:US
Practice Address - Phone:989-797-2663
Practice Address - Fax:989-797-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062315174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M86690OtherMEDICARE PTAN
MI4120375Medicaid
MI1004552OtherMCLAREN ADVANTAGE
MI1107301042OtherBLUE CARE NETWORK
MI660002906OtherTRAVELERS MEDICARE
MI0982605OtherHEALTH PLUS
MI1107301042OtherBLUE CROSS
MI1107301042OtherBLUE CARE NETWORK