Mange, Andy

Mange, Andy is an individual health care provider with primary practice located at 1295 State St , El Centro CA 92243. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Mange, Andy can be contacted via phone (760) 337-7764.

Contact Information

Primary practice address
1295 State St El Centro CA 92243
Fax:
Website:

Profile Details

NPI number 1760538441
LBN Legal business name Mange, Andy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - 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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