Matengenzara, Chengetai Beverly

Matengenzara, Chengetai Beverly is an sole proprietor health care provider with primary practice located at 18950 Marsh Ln Apt 208 , Dallas TX 75287-2157. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Matengenzara, Chengetai Beverly can be contacted via phone (214) 659-1138.

Contact Information

Primary practice address
18950 Marsh Ln Apt 208 Dallas TX 75287-2157
Phone: (214) 659-1138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1710447388
LBN Legal business name Matengenzara, Chengetai Beverly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2019
Last updated Feb 10th, 2021 - 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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