Souvenir, Maxine

Souvenir, Maxine is an sole proprietor health care provider with primary practice located at 100 Union St Apt 518 , Elizabeth NJ 07202-2171. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Souvenir, Maxine can be contacted via phone (347) 422-4370.

Contact Information

Primary practice address
100 Union St Apt 518 Elizabeth NJ 07202-2171
Phone: (347) 422-4370
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT01438900 New Jersey

Profile Details

NPI number 1790401966
LBN Legal business name Souvenir, Maxine
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - 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.

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