Mangulabnan, Ray Peter
Mangulabnan, Ray Peter is an sole proprietor health care provider with primary practice located at 3170 Hallmark Ct , Saginaw MI 48603-2183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mangulabnan, Ray Peter can be contacted via phone (989) 790-1275.Contact Information
Primary practice address
3170 Hallmark Ct
Saginaw MI 48603-2183
Phone: (989) 790-1275
Fax: (989) 249-4199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301072416 | Michigan |
Profile Details
| NPI number | 1003804766 |
|---|---|
| LBN Legal business name | Mangulabnan, Ray Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Dec 28th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003804766 | NPPES |
| Other | 7307374 | AETNA US HEALTHCARE | |
| Other | N48190001 | AETNA US HEALTHCARE | |
| Other | 1107304342 | AETNA US HEALTHCARE | |
| Other | 0992071 | AETNA US HEALTHCARE | |
| Other | 4411167 | AETNA US HEALTHCARE | |
| MEDICAID | 4411167 | AETNA US HEALTHCARE | |
| Other | 7307374 | AETNA US HEALTHCARE | |
| Other | P25942F | AETNA US HEALTHCARE | |
| Other | 010683841050 | AETNA US HEALTHCARE | |
| Other | 0N48190 | AETNA US HEALTHCARE | |
| Other | MOLINA | AETNA US HEALTHCARE |
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