Mangelsdorf, Heidi

Mangelsdorf, Heidi is an individual health care provider with primary practice located at 101 Sw Cary Pkwy Suite 210, Cary NC 27511-5562. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mangelsdorf, Heidi can be contacted via phone (919) 467-8556.

Contact Information

Primary practice address
101 Sw Cary Pkwy Suite 210 Cary NC 27511-5562
Fax: (919) 380-1480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 009400913 North Carolina

Profile Details

NPI number 1528053428
LBN Legal business name Mangelsdorf, Heidi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 7th, 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 1528053428 NPPES
North Carolina Other 03-55792 UNITED HEALTHCARE
North Carolina Other 1005L UNITED HEALTHCARE

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