Mangrum, Leticia Gail
Mangrum, Leticia Gail is an sole proprietor health care provider with primary practice located at 1225 Paris Rd , Mayfield KY 42066-4989. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Mangrum, Leticia Gail can be contacted via phone (270) 247-6262.Contact Information
Primary practice address
1225 Paris Rd
Mayfield KY 42066-4989
Phone: (270) 247-6262
Fax: (270) 247-8652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 110148 | Kentucky |
Profile Details
| NPI number | 1164152690 |
|---|---|
| LBN Legal business name | Mangrum, Leticia Gail |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2022 |
| Last updated | Jun 16th, 2022 - about 2 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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