Maksimak, Martin G.

Maksimak, Martin G. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Maksimak, Martin G. can be contacted via phone (570) 271-6052.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD029469E Pennsylvania

Profile Details

NPI number 1699736249
LBN Legal business name Maksimak, Martin G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 12th, 2020 - about 4 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 1699736249 NPPES
Pennsylvania MEDICAID 000910866

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