Mangiamele, Sebastian R.

Mangiamele, Sebastian R. is an individual health care provider with primary practice located at 3801 Bemidji Ave N Ste 6, Bemidji MN 56601-4364. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mangiamele, Sebastian R. can be contacted via phone (218) 333-5694.

Contact Information

Primary practice address
3801 Bemidji Ave N Ste 6 Bemidji MN 56601-4364
Phone: (218) 333-5694
Fax: (218) 444-4728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 43323 Minnesota
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 43323 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43323 Minnesota

Profile Details

NPI number 1710944475
LBN Legal business name Mangiamele, Sebastian R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 12th, 2010 - about 16 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 1710944475 NPPES
Minnesota MEDICAID 640127900

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