Mantz, Eric P

Mantz, Eric P is an individual health care provider with primary practice located at 600 Morris St Suite 103, Charleston WV 25301-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mantz, Eric P can be contacted via phone (304) 388-7040.

Contact Information

Primary practice address
600 Morris St Suite 103 Charleston WV 25301-1409
Phone: (304) 388-7040
Fax: (304) 388-7041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 09636 West Virginia

Profile Details

NPI number 1215023064
LBN Legal business name Mantz, Eric P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Dec 21st, 2015 - about 10 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 1215023064 NPPES
West Virginia Other P01106930 RAILROAD MEDICARE
West Virginia MEDICAID 0127930000 RAILROAD MEDICARE

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