Maxey, Jackie D
Maxey, Jackie D is an sole proprietor health care provider with primary practice located at 102 Professional Dr Suite #2, London KY 40741-8857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maxey, Jackie D can be contacted via phone (606) 878-9611.Contact Information
Primary practice address
102 Professional Dr Suite #2
London KY 40741-8857
Phone: (606) 878-9611
Fax: (606) 862-7565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35548 | Kentucky |
Profile Details
| NPI number | 1073525861 |
|---|---|
| LBN Legal business name | Maxey, Jackie D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 15th, 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 | 1073525861 | NPPES |
| Kentucky | MEDICAID | 64009913 |
Popular Providers
-
Kreis, Samuel Duane
272 London Mountain View Dr Ste 3 , London KY 40741-6601 -
Bunch, Donnie W
1025 Saint Joseph Ln , London KY 40741-8345 -
Javaid, Farhan
1406 W 5Th St Suite 201, London KY 40741-1688 -
Zook, Melissa Llenay
803 Meyers Baker Rd Suite 200, London KY 40741-3039 -
Grentz, Werner
106 Nami Plz Ste 2 , London KY 40741-3125 -
Robinson, Ashlee Allen
934 S Laurel Rd Ste 1 , London KY 40744-8303 -
Stanko, Shelley Bundy
175 City Hill Dr , London KY 40741-3037 -
Reffner, Robert Sidney
105 Villas Ct Apt 40 , London KY 40741-5008