Dr. Kip Mangan
Pediatric Chiropractor
1905 E Big Beaver Rd
Troy
, Michigan 48083-2006
Dr. Kip Mangan
Pediatric Chiropractor
1905 E Big Beaver Rd
Troy
, Michigan 48083-2006
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About
Features
Specialties
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Kip Mangan
- 29377 Maurice Ct
- Chesterfield, MI
- Zip : 48047-3750
- Phone :
Second Address
- Dr. Kip Mangan
- 1905 E Big Beaver Rd
- Troy, MI
- Zip : 48083-2006
- Phone : (248) 720-0444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NP0017X | Pediatric Chiropractor | 2301010154 | MI |
National Provider Identifier
| NPI | 1770990855 |
|---|---|
| Provider Name | Dr. Kip Mangan |
| First Address | Chesterfield, MI 48047-3750 |
| Second Address | Troy, MI 48083-2006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2014 |
| Last Update Date | 21/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.