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
Phone: (336) 375-6990
Fax: (339) 375-0361
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417052143 | NPPES |
| North Carolina | MEDICAID | 890803U | |
| North Carolina | Other | 0803U | |
| North Carolina | Other | 95363 |
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