Mangan, Thomas F

Mangan, Thomas F is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mangan, Thomas F can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 27348 Minnesota
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 46147 Arizona

Profile Details

NPI number 1346229200
LBN Legal business name Mangan, Thomas F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 24th, 2014 - about 12 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 1346229200 NPPES
Minnesota Other 110153181 RAILROAD MEDICARE
Minnesota MEDICAID 763907 RAILROAD MEDICARE
Minnesota MEDICAID 091328600 RAILROAD MEDICARE

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