Mangold, Marci Rae

Mangold, Marci Rae is an sole proprietor health care provider with primary practice located at 160 Heritage Way Ste 202 , Kalispell MT 59901-3127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mangold, Marci Rae can be contacted via phone (406) 752-8433.

Contact Information

Primary practice address
160 Heritage Way Ste 202 Kalispell MT 59901-3127
Phone: (406) 752-8433
Fax: (406) 756-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 310 Montana

Profile Details

NPI number 1932262052
LBN Legal business name Mangold, Marci Rae
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Nov 27th, 2023 - about 2 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 1932262052 NPPES
Montana MEDICAID 4301947

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