Individual
DR. RONALD EUGENE MANGIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
263 W MCKINLEY WAY, STE 101, POLAND, OH 44514-1688
(330) 707-9127
(330) 707-9129
Mailing address
263 W MCKINLEY WAY, STE 101, POLAND, OH 44514-1688
(330) 707-9127
(330) 707-9129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369294
ANTHEM
OH
05
—
2581022
—
OH
Enumeration date
01/03/2006
Last updated
06/24/2022
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