Maxwell, Edwin Allen

Maxwell, Edwin Allen is an individual health care provider with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Maxwell, Edwin Allen can be contacted via phone (563) 421-1000.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 421-1000
Fax: (563) 421-7889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01682 Iowa
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01682 Iowa

Profile Details

NPI number 1952387292
LBN Legal business name Maxwell, Edwin Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 7th, 2021 - about 4 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 1952387292 NPPES
Iowa MEDICAID 2003467

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