Maxwell, Richard A

Maxwell, Richard A is an individual health care provider with primary practice located at 1740 Cleveland Rd , Wooster OH 44691-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maxwell, Richard A can be contacted via phone (330) 287-4500.

Contact Information

Primary practice address
1740 Cleveland Rd Wooster OH 44691-2204
Fax: (330) 263-6607
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35034988 Ohio

Profile Details

NPI number 1447216700
LBN Legal business name Maxwell, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 1st, 2008 - about 16 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 1447216700 NPPES
Ohio MEDICAID 0280468

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