Mangum, Ryan Duane

Mangum, Ryan Duane is an sole proprietor health care provider with primary practice located at 1700 E Bogard Rd Bldg B , Wasilla AK 99654-6563. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mangum, Ryan Duane can be contacted via phone (907) 357-4111.

Contact Information

Primary practice address
1700 E Bogard Rd Bldg B Wasilla AK 99654-6563
Fax: (907) 357-4199
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 360 Alaska

Profile Details

NPI number 1528258688
LBN Legal business name Mangum, Ryan Duane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 19 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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