Hyatt, Max Todd

Hyatt, Max Todd is an individual health care provider with primary practice located at 1680 Westbrook Ave , Burlington NC 27215-9700. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hyatt, Max Todd can be contacted via phone (336) 375-6990.

Contact Information

Primary practice address
1680 Westbrook Ave Burlington NC 27215-9700
Fax: (339) 375-0361
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 416 North Carolina

Profile Details

NPI number 1417052143
LBN Legal business name Hyatt, Max Todd
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 28th, 2024 - 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 1417052143 NPPES
North Carolina MEDICAID 890803U
North Carolina Other 0803U
North Carolina Other 95363

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