Mentzer, Carleton A

Mentzer, Carleton A is an individual health care provider with primary practice located at 64 Bluffton Rd , Bluffton SC 29910-7621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mentzer, Carleton A can be contacted via phone (843) 757-0676.

Contact Information

Primary practice address
64 Bluffton Rd Bluffton SC 29910-7621
Phone: (843) 757-0676
Fax: (843) 757-0779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200003 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1652 South Carolina

Profile Details

NPI number 1679540587
LBN Legal business name Mentzer, Carleton A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Sep 19th, 2014 - about 12 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 1679540587 NPPES
South Carolina MEDICAID 1380PA

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