Daniel Andrew Mangus Jr., L.AC, CP

Individual provider Active NPI Acupuncturist · Apollo, PA

NPI 1992329494 · NPPES record last updated Jun 1, 2020

Key facts

NPI
1992329494
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AK001324 (PA)
Practice address
112 Beaver Run Rd
Apollo, PA 15613-8841
Phone
(724) 875-4649
NPI assigned
Jun 1, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AK001324PAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193400000X SINGLE SPECIALTY GROUP
171100000X AK001324 PA Yes

Addresses

Primary practice location

112 Beaver Run Rd
Apollo, PA 15613-8841

Mailing address

112 Beaver Run Rd
Apollo, PA 15613-8841
Phone (724) 875-4649

Other names

  • Mr. Daniel Andrew Mangus Jr. Professional name

Other providers in Apollo, PA

All providers in Apollo, PA · Acupuncturist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.