Terry, Max L
Terry, Max L is an individual health care provider with primary practice located at 2110 Airway Ave , Kingman AZ 86409-3652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Terry, Max L can be contacted via phone (928) 681-1800.Contact Information
Primary practice address
2110 Airway Ave
Kingman AZ 86409-3652
Phone: (928) 681-1800
Fax: (928) 681-1832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 31475 | Arizona |
Profile Details
| NPI number | 1295775815 |
|---|---|
| LBN Legal business name | Terry, Max L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Mar 28th, 2008 - about 16 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 | 1295775815 | NPPES |
| Arizona | MEDICAID | 842501 | |
| Arizona | Other | AZ0749420 |
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