Individual
DR. STUART B MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
(317) 272-0807
Mailing address
5101 E US HIGHWAY 36 STE 100, AVON, IN 46123-6646
(888) 714-1927
(317) 272-0807
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01032748
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083191
ANTHEM BCBS PROVIDER PIN
IN
05
—
200009770
—
IN
Enumeration date
05/18/2006
Last updated
07/31/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us