Manhart, Chantal Annette-Van Houten

Manhart, Chantal Annette-Van Houten is an individual health care provider with primary practice located at 1675 Bethany Rd Suite C, Sycamore IL 60178-3124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Manhart, Chantal Annette-Van Houten can be contacted via phone (815) 899-8080.

Contact Information

Primary practice address
1675 Bethany Rd Suite C Sycamore IL 60178-3124
Phone: (815) 899-8080
Fax: (815) 899-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.006994 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-087782 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209.006994 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F-087782 Iowa

Profile Details

NPI number 1265576185
LBN Legal business name Manhart, Chantal Annette-Van Houten
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Mar 11th, 2013 - about 12 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 1265576185 NPPES
Illinois Other 209.006994 ILLINOIS LICENSE NUMBER
Illinois Other F-087782 OR A-087782 ILLINOIS LICENSE NUMBER

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