Maxcy, Jeffrey L
Maxcy, Jeffrey L is an individual health care provider with primary practice located at 6780 W Thunderbird Rd Suite A101, Peoria AZ 85381-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maxcy, Jeffrey L can be contacted via phone (602) 843-1991.Contact Information
Primary practice address
6780 W Thunderbird Rd Suite A101
Peoria AZ 85381-5049
Phone: (602) 843-1991
Fax: (602) 843-1991
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22298 | Arizona |
Profile Details
NPI number | 1891789384 |
---|---|
LBN Legal business name | Maxcy, Jeffrey L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Aug 21st, 2014 - about 10 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 | 1891789384 | NPPES |
Arizona | MEDICAID | 208448 |
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