Mangrich Hickman, Elizabeth A
Mangrich Hickman, Elizabeth A is an individual health care provider with primary practice located at 510 W Main St Ste A , Solon IA 52333-9782. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mangrich Hickman, Elizabeth A can be contacted via phone (319) 624-2991.Contact Information
Primary practice address
510 W Main St Ste A
Solon IA 52333-9782
Phone: (319) 624-2991
Fax: (319) 624-3931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-35325 | Iowa |
Profile Details
| NPI number | 1639117054 |
|---|---|
| LBN Legal business name | Mangrich Hickman, Elizabeth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Apr 17th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639117054 | NPPES |
| Iowa | MEDICAID | 1286526 | |
| Iowa | Other | P00269239 |
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