Mangas, Sara

Mangas, Sara is an sole proprietor health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mangas, Sara can be contacted via phone (937) 395-8166.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-8166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.18331-NP Ohio

Profile Details

NPI number 1285006619
LBN Legal business name Mangas, Sara
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2015
Last updated May 5th, 2020 - about 5 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 1285006619 NPPES
Ohio MEDICAID 0150449

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