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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1285693358 NPPES
Arizona Other 2Z6143 HEALTHNET

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