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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1053498428 | NPPES |
| Illinois | Other | 01634925 | BCBS PROVIDER # |
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