Maynard, Shawn

Maynard, Shawn is an individual health care provider with primary practice located at 2900 1St Ave Room 1025, Huntington WV 25702-1241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Maynard, Shawn can be contacted via phone (304) 399-7484.

Contact Information

Primary practice address
2900 1St Ave Room 1025 Huntington WV 25702-1241
Phone: (304) 399-7484
Fax: (304) 399-7579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24520 West Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1487815403
LBN Legal business name Maynard, Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Oct 25th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487815403 NPPES
West Virginia MEDICAID 3810020815

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