Mangum, Carlton

Mangum, Carlton is an individual health care provider with primary practice located at 474 W 200 N Suite 200, St. George UT 84770-4505. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mangum, Carlton can be contacted via phone (435) 634-5600.

Contact Information

Primary practice address
474 W 200 N Suite 200 St. George UT 84770-4505
Phone: (435) 634-5600
Fax: (435) 986-8700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6496349-6004 Utah

Profile Details

NPI number 1194947051
LBN Legal business name Mangum, Carlton
Credentials SSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Aug 5th, 2020 - 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 1194947051 NPPES
Utah Other MANGUC SBHC STAFF CODE
Utah Other 6496349-3503 SBHC STAFF CODE

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