Doyle, Max Shawn

Doyle, Max Shawn is an individual health care provider with primary practice located at 13566 Gilmore St , Van Nuys CA 91401-1705. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Doyle, Max Shawn can be contacted via phone (818) 203-8123.

Contact Information

Primary practice address
13566 Gilmore St Van Nuys CA 91401-1705
Phone: (818) 203-8123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1407582604
LBN Legal business name Doyle, Max Shawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2022
Last updated Jul 29th, 2022 - about 2 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 1407582604 NPPES
Other XDPCA8011110 ANTHEM

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