Maxson, Jan L.

Maxson, Jan L. is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Maxson, Jan L. can be contacted via phone (216) 844-3941.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-3941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X RN 173677 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA.07928-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X COA.07928-NP Ohio

Profile Details

NPI number 1700802048
LBN Legal business name Maxson, Jan L.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 14th, 2013 - about 11 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 1700802048 NPPES
Ohio Other 000000509176 ANTHEM
Ohio MEDICAID 2502492 ANTHEM
Ohio Other 363817 ANTHEM
Ohio MEDICAID 2833401 ANTHEM
Ohio Other 000000221148 ANTHEM
Ohio Other 7245609 ANTHEM
Ohio Other 750907 ANTHEM
Ohio Other P00908727 ANTHEM

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