Mcdonald, Maxwell C
Mcdonald, Maxwell C is an individual health care provider with primary practice located at 2600 Kings Hwy Suite 340, Shreveport LA 71103-3950. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mcdonald, Maxwell C can be contacted via phone (318) 212-8620.Contact Information
Primary practice address
2600 Kings Hwy Suite 340
Shreveport LA 71103-3950
Phone: (318) 212-8620
Fax: (318) 212-8625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025699 | Louisiana |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 025699 | Louisiana |
Profile Details
| NPI number | 1699764589 |
|---|---|
| LBN Legal business name | Mcdonald, Maxwell C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 9th, 2021 - about 4 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 | 1699764589 | NPPES |
| Louisiana | MEDICAID | 1041521 |
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