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
Phone: (313) 561-9064
Fax: (313) 563-4480
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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