Maxfield, Brett Buckley

Maxfield, Brett Buckley is an sole proprietor health care provider with primary practice located at 1293 Moonstone Dr , Idaho Falls ID 83401-2411. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Nursing Service Providers / Registered Nurse is his primary health care specialty. Maxfield, Brett Buckley can be contacted via phone (208) 709-3295.

Contact Information

Primary practice address
1293 Moonstone Dr Idaho Falls ID 83401-2411
Phone: (208) 709-3295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N-34179 Idaho
Nursing Service Providers / Critical Care Medicine 163WC0200X N-34179 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1457563843
LBN Legal business name Maxfield, Brett Buckley
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2007
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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