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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1548417926 NPPES
Washington MEDICAID 2015406

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