Mantz, Charlene Marjorie

Mantz, Charlene Marjorie is an individual health care provider with primary practice located at 5139 Us Highway 19 , New Pt Richey FL 34652-3966. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Mantz, Charlene Marjorie can be contacted via phone (727) 849-6076.

Contact Information

Primary practice address
5139 Us Highway 19 New Pt Richey FL 34652-3966
Phone: (727) 849-6076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AS2621 Florida

Profile Details

NPI number 1588862775
LBN Legal business name Mantz, Charlene Marjorie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated May 21st, 2008 - about 18 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 1588862775 NPPES
Florida MEDICAID 610268900

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