Maxwell, Teresa
Maxwell, Teresa is an individual health care provider with primary practice located at 1805 Hasbrook Ct , North Little Rock AR 72116-5667. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Maxwell, Teresa can be contacted via phone (501) 349-8441.Contact Information
Primary practice address
1805 Hasbrook Ct
North Little Rock AR 72116-5667
Phone: (501) 349-8441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C-8450 | Arkansas |
Profile Details
| NPI number | 1629009451 |
|---|---|
| LBN Legal business name | Maxwell, Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jun 18th, 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 | 1629009451 | NPPES |
| Arkansas | MEDICAID | 129170001 | |
| Arkansas | Other | 5J256 |
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