Maggard, Michael Jason

Maggard, Michael Jason is an individual health care provider with primary practice located at 897 Broadway , New York NY 10003-1205. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Maggard, Michael Jason can be contacted via phone (212) 674-7878.

Contact Information

Primary practice address
897 Broadway New York NY 10003-1205
Phone: (212) 674-7878
Fax: (212) 673-7878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 006306-1 New York

Profile Details

NPI number 1437169323
LBN Legal business name Maggard, Michael Jason
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437169323 NPPES
New York Other 006306-1 LICENSE NUMBER

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