Mangan, William Thomas

Mangan, William Thomas is an individual health care provider with primary practice located at 3413 Woods Edge Drive , Okemos MI 48864-5901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mangan, William Thomas can be contacted via phone (517) 349-3303.

Contact Information

Primary practice address
3413 Woods Edge Drive Okemos MI 48864-5901
Phone: (517) 349-3303
Fax: (517) 349-4374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101011930 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101011930 Michigan

Profile Details

NPI number 1851392195
LBN Legal business name Mangan, William Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 22nd, 2016 - about 10 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 1851392195 NPPES
Michigan Other 0C36097 PTAN
Michigan Other 5101011930 PTAN

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