Walters, Chantel
Walters, Chantel is an sole proprietor health care provider with primary practice located at 2950 Sw Boxwood Cir , Port St Lucie FL 34953-6967. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Walters, Chantel can be contacted via phone (772) 985-1261.Contact Information
Primary practice address
2950 Sw Boxwood Cir
Port St Lucie FL 34953-6967
Phone: (772) 985-1261
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1427535285 |
|---|---|
| LBN Legal business name | Walters, Chantel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2018 |
| Last updated | Jul 25th, 2018 - about 6 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 | 1427535285 | NPPES |
| Florida | MEDICAID | 721672 |
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