Mangold, Sara L.

Mangold, Sara L. is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mangold, Sara L. can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Phone: (270) 781-5111
Fax: (270) 780-0498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R1117 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X TP735 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43016 Kentucky

Profile Details

NPI number 1093954828
LBN Legal business name Mangold, Sara L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2009
Last updated Jul 2nd, 2014 - about 11 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 1093954828 NPPES
Kentucky MEDICAID 7100084580
Kentucky Other P00793922
Kentucky Other 000000624662

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