Mango, Scott Joseph

Mango, Scott Joseph is an individual health care provider with primary practice located at 1900 Columbus Ave , Bay City MI 48708-6880. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mango, Scott Joseph can be contacted via phone (989) 894-3000.

Contact Information

Primary practice address
1900 Columbus Ave Bay City MI 48708-6880
Phone: (989) 894-3000
Fax: (989) 891-0497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704206863 Michigan

Profile Details

NPI number 1720414949
LBN Legal business name Mango, Scott Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2013
Last updated Apr 9th, 2015 - about 11 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 1720414949 NPPES
Michigan Other 100680 AANA
Michigan Other P01290769 AANA
Michigan Other 0872871 AANA

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