Mangas, Jerold J.
Mangas, Jerold J. is an individual health care provider with primary practice located at 1950 S Country Club Dr , Mesa AZ 85210-6008. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mangas, Jerold J. can be contacted via phone (480) 969-1446.Contact Information
Primary practice address
1950 S Country Club Dr
Mesa AZ 85210-6008
Phone: (480) 969-1446
Fax: (480) 464-8652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 11635 | Arizona |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11635 | Arizona |
Profile Details
NPI number | 1285693358 |
---|---|
LBN Legal business name | Mangas, Jerold J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2006 |
Last updated | Apr 24th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285693358 | NPPES |
Arizona | Other | 2Z6143 | HEALTHNET |
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