Wagonheim, Max

Wagonheim, Max is an sole proprietor health care provider with primary practice located at 515 Brightfield Rd , Lutherville MD 21093-3643. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wagonheim, Max can be contacted via phone (410) 296-1990.

Contact Information

Primary practice address
515 Brightfield Rd Lutherville MD 21093-3643
Phone: (410) 296-1990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A4037 Maryland

Profile Details

NPI number 1760854095
LBN Legal business name Wagonheim, Max
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 11 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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