Mantel, Wayne Douglas
Mantel, Wayne Douglas is an individual health care provider with primary practice located at 3771 E Desert Inn Rd , Las Vegas NV 89121-3338. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mantel, Wayne Douglas can be contacted via phone (702) 454-3775.Contact Information
Primary practice address
3771 E Desert Inn Rd
Las Vegas NV 89121-3338
Phone: (702) 454-3775
Fax: (702) 454-7407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | B700 | Nevada |
Profile Details
| NPI number | 1457327926 |
|---|---|
| LBN Legal business name | Mantel, Wayne Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457327926 | NPPES |
| Nevada | MEDICAID | 3602017 |
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