Maxwell, Stefan Randolph
Maxwell, Stefan Randolph is an individual health care provider with primary practice located at 830 Pennsylvania Ave Suite 406, Charleston WV 25302-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Maxwell, Stefan Randolph can be contacted via phone (304) 388-2238.Contact Information
Primary practice address
830 Pennsylvania Ave Suite 406
Charleston WV 25302-3302
Phone: (304) 388-2238
Fax: (304) 388-2243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 16172 | West Virginia |
Profile Details
| NPI number | 1164473534 |
|---|---|
| LBN Legal business name | Maxwell, Stefan Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| 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.
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