Provider Demographics
NPI:1801290135
Name:MANAN TECHNOLOGIES INC.
Entity type:Organization
Organization Name:MANAN TECHNOLOGIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELWEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-416-2434
Mailing Address - Street 1:PO BOX 364
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:IN
Mailing Address - Zip Code:46105-0364
Mailing Address - Country:US
Mailing Address - Phone:800-416-2434
Mailing Address - Fax:765-588-0408
Practice Address - Street 1:108 E PAT RADY WAY
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:IN
Practice Address - Zip Code:46105-9361
Practice Address - Country:US
Practice Address - Phone:800-416-2434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001198A332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200885680CMedicaid