Mangas, Michael Drach

Mangas, Michael Drach is an individual health care provider with primary practice located at 2475 Cottage Ave , Columbus IN 47201-4476. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mangas, Michael Drach can be contacted via phone (812) 372-7782.

Contact Information

Primary practice address
2475 Cottage Ave Columbus IN 47201-4476
Phone: (812) 372-7782
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001786 Indiana

Profile Details

NPI number 1427110956
LBN Legal business name Mangas, Michael Drach
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 22nd, 2011 - about 15 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 1427110956 NPPES
Indiana MEDICAID 100051800A

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