Axley, John

Axley, John is an sole proprietor health care provider with primary practice located at 4400 Bayou Blvd Ste 43 , Pensacola FL 32503-1910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Axley, John can be contacted via phone (850) 477-3015.

Contact Information

Primary practice address
4400 Bayou Blvd Ste 43 Pensacola FL 32503-1910
Phone: (850) 477-3015
Fax: (850) 477-3026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME20237 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 00007052 Alabama

Profile Details

NPI number 1164595427
LBN Legal business name Axley, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Oct 30th, 2007 - about 17 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 1164595427 NPPES
Alabama MEDICAID 009945805
Alabama MEDICAID 052598700
Alabama Other 406132045

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