Mangine, Joseph D

Mangine, Joseph D is an sole proprietor health care provider with primary practice located at 571 High St Ste 12 , Worthington OH 43085-4132. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Mangine, Joseph D can be contacted via phone (413) 218-1105.

Contact Information

Primary practice address
571 High St Ste 12 Worthington OH 43085-4132
Phone: (413) 218-1105
Fax: (614) 591-0710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X P.7370 Ohio
Behavioral Health & Social Service Providers / Counseling 103TC1900X 7370 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7134 Massachusetts

Profile Details

NPI number 1376653774
LBN Legal business name Mangine, Joseph D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jan 13th, 2021 - 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 1376653774 NPPES
Ohio MEDICAID 0174857

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