Maxwell, Misty Dawn
Maxwell, Misty Dawn is an sole proprietor health care provider with primary practice located at 1393 Bailey Drive , Hanford CA 93230-5922. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maxwell, Misty Dawn can be contacted via phone (559) 582-4481.Contact Information
Primary practice address
1393 Bailey Drive
Hanford CA 93230-5922
Phone: (559) 582-4481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW17442 | California |
Profile Details
| NPI number | 1346466406 |
|---|---|
| LBN Legal business name | Maxwell, Misty Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346466406 | NPPES |
| California | MEDICAID | 160101904300 |
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