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

Primary practice address
300 Derry Rd Hudson NH 03051-3023
Phone: (603) 886-3979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1154434462 NPPES
New Hampshire MEDICAID 3077200
New Hampshire MEDICAID 432680399
New Hampshire MEDICAID 1515513

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