Mangrum, Amy K
Mangrum, Amy K is an individual health care provider with primary practice located at 1100 Nw 9Th Pl , Cape Coral FL 33993-6061. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mangrum, Amy K can be contacted via phone (123) 924-5403.Contact Information
Primary practice address
1100 Nw 9Th Pl
Cape Coral FL 33993-6061
Phone: (123) 924-5403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Florida |
Profile Details
| NPI number | 1720603228 |
|---|---|
| LBN Legal business name | Mangrum, Amy K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Jun 10th, 2020 - about 6 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 | 1720603228 | NPPES |
| Florida | MEDICAID | 105007600 |
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