Maxine Souvenir, LMT
Massage Therapist in Elizabeth, New Jersey
1790401966- Practice location
- 100 Union St Apt 518, Elizabeth, NJ 07202-2171
- Phone
- 347-422-4370
- Fax
- —
- Last updated
- October 18, 2022
Maxine Souvenir is a Massage Therapist based in Elizabeth, NJ. Maxine Souvenir practices in Elizabeth, NJ and has the professional credentials of LMT. The NPI Number for Maxine Souvenir is 1790401966 and holds a License No. 18kt01438900 (NJ). The current practice location address for Maxine Souvenir is 100 Union St Apt 518, Elizabeth, NJ 07202-2171 and can be reached out via phone at 347-422-4370.
Provider Profile Details
- NPI Number
- 1790401966
- Provider Name
- Maxine Souvenir
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Union St Apt 518, Elizabeth, NJ 07202-2171
- Phone Number
- 347-422-4370
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 18, 2022
- Last Update Date
- October 18, 2022
- Certification Date
- October 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Union St Apt 518
Elizabeth, NJ 07202-2171 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07202-2171
- Phone Number
- 347-422-4370
Provider Business Mailing Address Details
- Address
- 100 Union St Apt 518
Elizabeth, NJ 07202-2171 - City
- Elizabeth
- State
- NJ
- Zip
- 07202-2171
- Phone Number
- 347-422-4370
License Information
- License Number
- 18kt01438900
- License State
- NJ
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maxine Souvenir, LMT?
The NPI number of Maxine Souvenir, LMT is 1790401966. It was assigned on October 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Maxine Souvenir, LMT?
Maxine Souvenir, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18kt01438900.
Where does Maxine Souvenir, LMT practice?
The practice location is 100 Union St Apt 518, Elizabeth, NJ 07202-2171. The office can be reached at 347-422-4370 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790401966 directly on the NPPES registry website.