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
Phone: (614) 788-5000
Fax: (614) 788-5100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34.009863 | Ohio |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154520013 | NPPES |
Ohio | MEDICAID | 0074923 | |
Ohio | Other | H250561 |
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