Mangan, Harlene Rosemary

Mangan, Harlene Rosemary is an individual health care provider with primary practice located at 1510 48Th Street Pl , Moline IL 61265-3637. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Radiology. Chiropractic Providers / Chiropractor is her primary health care specialty. Mangan, Harlene Rosemary can be contacted via phone (309) 797-4000.

Contact Information

Primary practice address
1510 48Th Street Pl Moline IL 61265-3637
Phone: (309) 797-4000
Fax: (309) 797-5041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A05384 Iowa
Chiropractic Providers / Chiropractor 111N00000X 038-006108 Illinois
Chiropractic Providers / Radiology 111NR0200X 9214347 Illinois

Profile Details

NPI number 1639256118
LBN Legal business name Mangan, Harlene Rosemary
Credentials B.S.,D.C.,F.I.A.M.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639256118 NPPES
Illinois MEDICAID 038006108
Illinois Other 08182055

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