Maxwell, Martha Lewis

Maxwell, Martha Lewis is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Maxwell, Martha Lewis can be contacted via phone (985) 230-1682.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Hammond LA 70403-1434
Phone: (985) 230-1682
Fax: (985) 230-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP01339 Louisiana

Profile Details

NPI number 1285698167
LBN Legal business name Maxwell, Martha Lewis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 10th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285698167 NPPES
Other 430035507 RR MEDICARE#
MEDICAID 1399582 RR MEDICARE#

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