Mangum, Jared D

Mangum, Jared D is an individual health care provider with primary practice located at 8659 N Rude St , Hayden ID 83835-8255. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mangum, Jared D can be contacted via phone (801) 762-7447.

Contact Information

Primary practice address
8659 N Rude St Hayden ID 83835-8255
Phone: (801) 762-7447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5266084-1202 Utah
Chiropractic Providers / Chiropractor 111N00000X CHIA-2025 Idaho

Profile Details

NPI number 1578820247
LBN Legal business name Mangum, Jared D
Credentials DC, MBA, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Jul 6th, 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.

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