Maxwell, Brent

Maxwell, Brent is an individual health care provider with primary practice located at 546 S Randall Rd Ste F , St Charles IL 60174-5914. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maxwell, Brent can be contacted via phone (630) 443-0400.

Contact Information

Primary practice address
546 S Randall Rd Ste F St Charles IL 60174-5914
Phone: (630) 443-0400
Fax: (630) 922-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3379 North Carolina
Chiropractic Providers / Chiropractor 111N00000X 038011973 Illinois

Profile Details

NPI number 1811025992
LBN Legal business name Maxwell, Brent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 23rd, 2015 - about 9 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 1811025992 NPPES
North Carolina Other 085X1 BCBS

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