Provider Demographics
NPI:1497511794
Name:MANESTREAM CONSULTING LLC
Entity Type:Organization
Organization Name:MANESTREAM CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:CRANIAL PROTHESIS SP
Authorized Official - Phone:202-389-2087
Mailing Address - Street 1:10560 MAIN ST STE 215
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7176
Mailing Address - Country:US
Mailing Address - Phone:703-352-4247
Mailing Address - Fax:
Practice Address - Street 1:10560 MAIN ST STE 215
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7176
Practice Address - Country:US
Practice Address - Phone:703-352-4247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier