Billingsley, Max T

Billingsley, Max T is an individual health care provider with primary practice located at 1 Shircliff Way Emergency Department, Jacksonville FL 32204-4748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Billingsley, Max T can be contacted via phone (904) 346-5426.

Contact Information

Primary practice address
1 Shircliff Way Emergency Department Jacksonville FL 32204-4748
Phone: (904) 346-5426
Fax: (904) 346-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME0045015 Florida

Profile Details

NPI number 1003874363
LBN Legal business name Billingsley, Max T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 1st, 2008 - about 18 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 1003874363 NPPES
Florida MEDICAID 044556800
Florida Other 930000750
Florida Other 14148

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