Charles, Jean Elizze Mabute

Charles, Jean Elizze Mabute is an individual health care provider with primary practice located at 855 Montgomery St Fl 6 , Fort Worth TX 76107-2553. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Charles, Jean Elizze Mabute can be contacted via phone (817) 735-7625.

Contact Information

Primary practice address
855 Montgomery St Fl 6 Fort Worth TX 76107-2553
Phone: (817) 735-7625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X T1316 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP20065105 Texas

Profile Details

NPI number 1376075507
LBN Legal business name Charles, Jean Elizze Mabute
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2017
Last updated Jul 9th, 2021 - 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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