Ivanov, Maxim I

Ivanov, Maxim I is an sole proprietor health care provider with primary practice located at 401 E Madison St , Goshen IN 46526-3431. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ivanov, Maxim I can be contacted via phone (574) 533-7363.

Contact Information

Primary practice address
401 E Madison St Goshen IN 46526-3431
Phone: (574) 533-7363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002243A Indiana

Profile Details

NPI number 1669560280
LBN Legal business name Ivanov, Maxim I
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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