Maxa, Liana
Maxa, Liana is an individual health care provider with primary practice located at 1455 Battersby Ave , Enumclaw WA 98022-3634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Maxa, Liana can be contacted via phone (253) 426-6341.Contact Information
Primary practice address
1455 Battersby Ave
Enumclaw WA 98022-3634
Phone: (253) 426-6341
Fax: (360) 697-2514
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60251154 | Washington |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60251154 | Washington |
Profile Details
NPI number | 1548417926 |
---|---|
LBN Legal business name | Maxa, Liana |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2008 |
Last updated | Apr 9th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548417926 | NPPES |
Washington | MEDICAID | 2015406 |
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