Manrique, Manuel Alexander

Manrique, Manuel Alexander is an sole proprietor health care provider with primary practice located at 22967 Outer Dr , Dearborn MI 48124-4248. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Manrique, Manuel Alexander can be contacted via phone (313) 561-9064.

Contact Information

Primary practice address
22967 Outer Dr Dearborn MI 48124-4248
Fax: (313) 563-4480
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301008353 Michigan

Profile Details

NPI number 1588710222
LBN Legal business name Manrique, Manuel Alexander
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jun 10th, 2024 - about 6 months 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 1588710222 NPPES
Michigan Other 5552704 AETNA
Michigan Other DR822439 AETNA
Michigan Other 680H248190 AETNA
Michigan Other 680H248190 AETNA
Michigan Other 680H248190 AETNA
Michigan Other 070564 AETNA
Michigan Other 070564 AETNA

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