Maxwell, Leisa L
Maxwell, Leisa L is an individual health care provider with primary practice located at 300 Derry Rd , Hudson NH 03051-3023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maxwell, Leisa L can be contacted via phone (603) 886-3979.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T0649 | Maine |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2003 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15719 | New Hampshire |
Profile Details
| NPI number | 1154434462 |
|---|---|
| LBN Legal business name | Maxwell, Leisa L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Mar 5th, 2015 - about 11 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 | 1154434462 | NPPES |
| New Hampshire | MEDICAID | 3077200 | |
| New Hampshire | MEDICAID | 432680399 | |
| New Hampshire | MEDICAID | 1515513 |
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