Axiom Health Corporation

LBN: Axiom Health Corporation
Axiom Health Corporation is an health care organization with primary practice located at 9707 Signal Ct , Manassas VA 20111-2505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Axiom Health Corporation can be contacted via phone (703) 459-4773, or through Abad, Marina Susana via phone (703) 459-4773.

Contact Information

Primary practice address
9707 Signal Ct Manassas VA 20111-2505
Phone: (703) 459-4773
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abad, Marina Susana Nurse Practitioner (NP)
Phone: (703) 459-4773

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0024167755 Virginia

Profile Details

NPI number 1700129194
LBN Legal business name Axiom Health Corporation
DBA Doing business as
Authorized official Abad, Marina Susana Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2013
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700129194 NPPES
Virginia Other 0024167755 BOARD OF NURSING, NURSE PRACTITIONER LICENSE
Virginia Other 1912174855 BOARD OF NURSING, NURSE PRACTITIONER LICENSE

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