Mangum, Lindsey Hall
Mangum, Lindsey Hall is an individual health care provider with primary practice located at 2129 Helton Dr , Florence AL 35630-1069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mangum, Lindsey Hall can be contacted via phone (256) 980-6214.Contact Information
Primary practice address
2129 Helton Dr
Florence AL 35630-1069
Phone: (256) 980-6214
Fax: (256) 284-7264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1703 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1142 | Alabama |
Profile Details
| NPI number | 1861631764 |
|---|---|
| LBN Legal business name | Mangum, Lindsey Hall |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2009 |
| Last updated | Oct 25th, 2021 - about 5 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 | 1861631764 | NPPES |
| Tennessee | MEDICAID | 1522323 | |
| Tennessee | MEDICAID | 209151 |
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