Mantz, Charlene Marjorie
Mantz, Charlene Marjorie is an individual health care provider with primary practice located at 5139 Us Highway 19 , New Pt Richey FL 34652-3966. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Mantz, Charlene Marjorie can be contacted via phone (727) 849-6076.Contact Information
Primary practice address
5139 Us Highway 19
New Pt Richey FL 34652-3966
Phone: (727) 849-6076
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | AS2621 | Florida |
Profile Details
NPI number | 1588862775 |
---|---|
LBN Legal business name | Mantz, Charlene Marjorie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2007 |
Last updated | May 21st, 2008 - 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 | 1588862775 | NPPES |
Florida | MEDICAID | 610268900 |
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