Maynard, Bobby L
Maynard, Bobby L is an individual health care provider with primary practice located at 1101 26Th St South , Great Falls MT 59405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Maynard, Bobby L can be contacted via phone (406) 455-5319.Contact Information
Primary practice address
1101 26Th St South
Great Falls MT 59405
Phone: (406) 455-5319
Fax: (406) 455-5303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 5341 | Montana |
Profile Details
| NPI number | 1609877570 |
|---|---|
| LBN Legal business name | Maynard, Bobby L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jun 10th, 2010 - about 15 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 | 1609877570 | NPPES |
| Montana | MEDICAID | 0068887 |
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