Hetznecker, Chalena R
Hetznecker, Chalena R is an sole proprietor health care provider with primary practice located at 929 N Spring Garden Ave Ste 120 , Deland FL 32720-0900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, which is considered as her primary health care specialty. Hetznecker, Chalena R can be contacted via phone (877) 337-7465.Contact Information
Primary practice address
929 N Spring Garden Ave Ste 120
Deland FL 32720-0900
Phone: (877) 337-7465
Fax: (877) 793-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X |
Profile Details
| NPI number | 1104008895 |
|---|---|
| LBN Legal business name | Hetznecker, Chalena R |
| Credentials | C.M.F. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Jun 15th, 2023 - about last year |
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 | 1104008895 | NPPES |
| Florida | Other | 000836756O | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS,PROSTHETICS & PEDORTHICS, INC |
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