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
Fax: (515) 964-8313
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366416612 NPPES
Iowa Other 45272 BLUE CROSS
Iowa MEDICAID 1191759 BLUE CROSS

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