Psolka, Maximilian

Psolka, Maximilian is an individual health care provider with primary practice located at 4878 S Highland Dr , Holladay UT 84117-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Psolka, Maximilian can be contacted via phone (801) 272-8861.

Contact Information

Primary practice address
4878 S Highland Dr Holladay UT 84117-6007
Phone: (801) 272-8861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01047658A Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D70499 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD61291718 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1143296-1205 Utah

Profile Details

NPI number 1255441952
LBN Legal business name Psolka, Maximilian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255441952 NPPES
Maryland MEDICAID 036676500

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