Mantor, Gina K
Mantor, Gina K is an sole proprietor health care provider with primary practice located at 4885 Olentangy River Rd Ste 1-20 , Columbus OH 43214-1953. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mantor, Gina K can be contacted via phone (614) 268-6555.Contact Information
Primary practice address
4885 Olentangy River Rd Ste 1-20
Columbus OH 43214-1953
Phone: (614) 268-6555
Fax: (614) 457-5713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-08-0913 | Ohio |
Profile Details
| NPI number | 1871589887 |
|---|---|
| LBN Legal business name | Mantor, Gina K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Apr 28th, 2025 - about last year |
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 | 1871589887 | NPPES |
| Ohio | MEDICAID | 2419476 |
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