Maynard, Lance Miles

Maynard, Lance Miles is an individual health care provider with primary practice located at 303 E Town St , Columbus OH 43215-4601. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Maynard, Lance Miles can be contacted via phone (614) 788-5000.

Contact Information

Primary practice address
303 E Town St Columbus OH 43215-4601
Fax: (614) 788-5100
Website:

Profile Details

NPI number 1154520013
LBN Legal business name Maynard, Lance Miles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jan 25th, 2022 - about 2 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 1154520013 NPPES
Ohio MEDICAID 0074923
Ohio Other H250561

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