Mangus, Mary E
Mangus, Mary E is an sole proprietor health care provider with primary practice located at 3102 Chesterfield Ave , Charleston WV 25304-1214. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mangus, Mary E can be contacted via phone (304) 346-6688.Contact Information
Primary practice address
3102 Chesterfield Ave
Charleston WV 25304-1214
Phone: (304) 346-6688
Fax: (304) 346-6688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 563 | West Virginia |
Profile Details
| NPI number | 1134183601 |
|---|---|
| LBN Legal business name | Mangus, Mary E |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Aug 18th, 2010 - about 16 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 | 1134183601 | NPPES |
| West Virginia | MEDICAID | 7600091 |
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