Maynard, Nathan C

Maynard, Nathan C is an sole proprietor health care provider with primary practice located at 955 Executive Parkway Dr Ste 218 , Creve Coeur MO 63141-6357. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Maynard, Nathan C can be contacted via phone (314) 996-8139.

Contact Information

Primary practice address
955 Executive Parkway Dr Ste 218 Creve Coeur MO 63141-6357
Phone: (314) 996-8139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004399 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2019020157 Missouri

Profile Details

NPI number 1346695533
LBN Legal business name Maynard, Nathan C
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2016
Last updated Feb 8th, 2022 - about 3 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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