Individual
MS. JENNIFER NICOLE MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13955 W PRESERVE BLVD # 200, BURNSVILLE, MN 55337-7733
(952) 890-0804
(952) 890-1095
Mailing address
13955 W PRESERVE BLVD # 200, BURNSVILLE, MN 55337-7733
(952) 890-0804
(952) 890-1095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4585
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
499T6MA
BCBS PRIVODER NUMBER
MN
Enumeration date
08/03/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us