Mauntel, William J

Mauntel, William J is an sole proprietor health care provider with primary practice located at 741A Wessel Dr , Fairfield OH 45014-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mauntel, William J can be contacted via phone (513) 829-2614.

Contact Information

Primary practice address
741A Wessel Dr Fairfield OH 45014-3611
Fax: (513) 829-0177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52198 Ohio

Profile Details

NPI number 1780673129
LBN Legal business name Mauntel, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated May 29th, 2019 - about 5 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 1780673129 NPPES
Ohio MEDICAID 0597902

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