Hines, Maxine
Hines, Maxine is an sole proprietor health care provider with primary practice located at 2363 Clifton Springs Rd , Decatur GA 30034-2911. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Hines, Maxine can be contacted via phone (404) 918-7016.Contact Information
Primary practice address
2363 Clifton Springs Rd
Decatur GA 30034-2911
Phone: (404) 918-7016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | 287680 | Georgia |
Profile Details
| NPI number | 1962147660 |
|---|---|
| LBN Legal business name | Hines, Maxine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2022 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962147660 | NPPES |
| Georgia | MEDICAID | 22082197 |
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