Fohtung, Maxwell Tanyi

Fohtung, Maxwell Tanyi is an individual health care provider with primary practice located at 4949 W Pine Blvd , Saint Louis MO 63108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Fohtung, Maxwell Tanyi can be contacted via phone (314) 389-1496.

Contact Information

Primary practice address
4949 W Pine Blvd Saint Louis MO 63108
Phone: (314) 389-1496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2018011353 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2018011353 Missouri

Profile Details

NPI number 1982088571
LBN Legal business name Fohtung, Maxwell Tanyi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated Jun 11th, 2018 - about 8 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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