Maxwell, Jon Michael

Maxwell, Jon Michael is an sole proprietor health care provider with primary practice located at 227 Riverside Ave , Adrian MI 49221-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Maxwell, Jon Michael can be contacted via phone (517) 263-0575.

Contact Information

Primary practice address
227 Riverside Ave Adrian MI 49221-1582
Fax: (517) 265-5188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X JM051623 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35070366 Ohio

Profile Details

NPI number 1487604542
LBN Legal business name Maxwell, Jon Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Sep 12th, 2016 - 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 1487604542 NPPES
Michigan MEDICAID 1959306
Michigan Other 2004600521

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