Mantel, Keith Howard
Mantel, Keith Howard is an individual health care provider with primary practice located at 409 W Broadway , South Boston MA 02127-2245. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mantel, Keith Howard can be contacted via phone (617) 269-7500.Contact Information
Primary practice address
409 W Broadway
South Boston MA 02127-2245
Phone: (617) 269-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 117738 | Massachusetts |
Profile Details
| NPI number | 1356351118 |
|---|---|
| LBN Legal business name | Mantel, Keith Howard |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Nov 6th, 2018 - about 7 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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