Maxwell, Dominic J
Maxwell, Dominic J is an sole proprietor health care provider with primary practice located at 15 Church St , Vineyard Haven MA 02568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Maxwell, Dominic J can be contacted via phone (508) 687-9592.Contact Information
Primary practice address
15 Church St
Vineyard Haven MA 02568
Phone: (508) 687-9592
Fax: (508) 687-9567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 00025983 | Alabama |
Profile Details
| NPI number | 1134178106 |
|---|---|
| LBN Legal business name | Maxwell, Dominic J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Jun 23rd, 2011 - about 13 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 | 1134178106 | NPPES |
| Alabama | MEDICAID | 009933454 | |
| Alabama | Other | 051530946 |
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