Manson, Max

Manson, Max is an individual health care provider with primary practice located at 11150 Fairfax Blvd Ste 502 , Fairfax VA 22030-5066. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind, which is considered as his primary health care specialty. Manson, Max can be contacted via phone (571) 422-3927.

Contact Information

Primary practice address
11150 Fairfax Blvd Ste 502 Fairfax VA 22030-5066
Phone: (571) 422-3927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind 2255R0406X

Profile Details

NPI number 1790439206
LBN Legal business name Manson, Max
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2022
Last updated Feb 4th, 2022 - about 3 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 1790439206 NPPES
Other 007953781 AETNA

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