Manning, Maxie B
Manning, Maxie B is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Manning, Maxie B can be contacted via phone (601) 268-5757.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 268-5757
Fax: (601) 579-5220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT0130 | Mississippi |
Profile Details
| NPI number | 1124133467 |
|---|---|
| LBN Legal business name | Manning, Maxie B |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Aug 23rd, 2016 - about 10 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 | 1124133467 | NPPES |
| Mississippi | Other | 2265849 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 00124907 | AMERICAN ADMIN GROUP |
| Mississippi | Other | P00308442 | AMERICAN ADMIN GROUP |
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