Chaknis, Manuel Michael
Chaknis, Manuel Michael is an sole proprietor health care provider with primary practice located at 2776 Cleveland Ave Ste 602 , Fort Myers FL 33901-5864. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Chaknis, Manuel Michael can be contacted via phone (239) 343-1614.Contact Information
Primary practice address
2776 Cleveland Ave Ste 602
Fort Myers FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0810003658 | Virginia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY0003426 | Florida |
Profile Details
| NPI number | 1346288917 |
|---|---|
| LBN Legal business name | Chaknis, Manuel Michael |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Oct 4th, 2023 - about 3 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 | 1346288917 | NPPES |
| Florida | MEDICAID | 116060300 |
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