Maxwell, Paul H
Maxwell, Paul H is an sole proprietor health care provider with primary practice located at 209 E 1St St #100, Ankeny IA 50021-1847. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maxwell, Paul H can be contacted via phone (515) 964-4239.Contact Information
Primary practice address
209 E 1St St #100
Ankeny IA 50021-1847
Phone: (515) 964-4239
Fax: (515) 964-8313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 01688 | Iowa |
Profile Details
NPI number | 1366416612 |
---|---|
LBN Legal business name | Maxwell, Paul H |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2006 |
Last updated | Sep 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366416612 | NPPES |
Iowa | Other | 45272 | BLUE CROSS |
Iowa | MEDICAID | 1191759 | BLUE CROSS |
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