Mantey, Heather Noelle

Mantey, Heather Noelle is an individual health care provider with primary practice located at 1318 Chicago Ave , Evanston IL 60201-4725. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mantey, Heather Noelle can be contacted via phone (847) 475-4960.

Contact Information

Primary practice address
1318 Chicago Ave Evanston IL 60201-4725
Phone: (847) 475-4960
Fax: (847) 475-4966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1053498428
LBN Legal business name Mantey, Heather Noelle
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053498428 NPPES
Illinois Other 01634925 BCBS PROVIDER #

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