Maxwell, Heidi Lynn

Maxwell, Heidi Lynn is an individual health care provider with primary practice located at 1235 Ramsey St , Fayetteville NC 28301-4401. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Maxwell, Heidi Lynn can be contacted via phone (910) 433-3708.

Contact Information

Primary practice address
1235 Ramsey St Fayetteville NC 28301-4401
Phone: (910) 433-3708
Fax: (910) 321-7103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 858950 North Carolina

Profile Details

NPI number 1255644464
LBN Legal business name Maxwell, Heidi Lynn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Sep 15th, 2010 - about 14 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 1255644464 NPPES
North Carolina Other 2995065 CIGNA MEDICARE

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