Maxwell, Hilda J

Maxwell, Hilda J is an sole proprietor health care provider with primary practice located at 167 Progress Way , Hurricane WV 25526-7450. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maxwell, Hilda J can be contacted via phone (304) 562-3200.

Contact Information

Primary practice address
167 Progress Way Hurricane WV 25526-7450
Phone: (304) 562-3200
Fax: (304) 562-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 866 D West Virginia

Profile Details

NPI number 1730215021
LBN Legal business name Maxwell, Hilda J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 5th, 2019 - about 5 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 1730215021 NPPES
West Virginia Other 001710665 BLUE CROSS BLUE SHIELD
West Virginia Other 550753899 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 3810028317 BLUE CROSS BLUE SHIELD

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