Maxwell, Robert A
Maxwell, Robert A is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Maxwell, Robert A can be contacted via phone (423) 267-0466.Contact Information
Primary practice address
979 E 3Rd St Ste 300
Chattanooga TN 37403
Phone: (423) 267-0466
Fax: (423) 778-8168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD29718 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD29718 | Tennessee |
Profile Details
| NPI number | 1982698627 |
|---|---|
| LBN Legal business name | Maxwell, Robert A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 19th, 2019 - about 6 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 | 1982698627 | NPPES |
| Alabama | MEDICAID | 009910780 | |
| Alabama | MEDICAID | 2536536 | |
| Alabama | MEDICAID | 3829392 | |
| Alabama | MEDICAID | 790608U | |
| Alabama | MEDICAID | 00859097B | |
| Alabama | Other | 020042396 | |
| Alabama | Other | 3125384 | |
| Alabama | Other | 62165877440 | |
| Alabama | Other | 6333337 002 | |
| Alabama | Other | 1740398 |
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