Mangubat, Chuck Stephen

Mangubat, Chuck Stephen is an individual health care provider with primary practice located at 3115 S Price Rd , Chandler AZ 85248-3544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mangubat, Chuck Stephen can be contacted via phone (480) 926-0170.

Contact Information

Primary practice address
3115 S Price Rd Chandler AZ 85248-3544
Fax: (480) 452-0715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24330 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 24330 Arizona

Profile Details

NPI number 1023084464
LBN Legal business name Mangubat, Chuck Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2006
Last updated Mar 22nd, 2016 - about 8 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 1023084464 NPPES
Arizona Other 110237007 MEDICARE RAIL ROAD
Arizona MEDICAID 36322604 MEDICARE RAIL ROAD

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