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
Fax: (239) 343-3144
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346288917 NPPES
Florida MEDICAID 116060300

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