Wyatt, Maxeen
Wyatt, Maxeen is an sole proprietor health care provider with primary practice located at 380 Western Ave , South Portland ME 04106-1720. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wyatt, Maxeen can be contacted via phone (207) 282-5110.Contact Information
Primary practice address
380 Western Ave
South Portland ME 04106-1720
Phone: (207) 282-5110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MT3231 | Maine |
Profile Details
| NPI number | 1336308188 |
|---|---|
| LBN Legal business name | Wyatt, Maxeen |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Jun 6th, 2008 - about 17 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 | 1336308188 | NPPES |
| Maine | Other | 200890 | ANTHEM BLUE CROSS BLUE SHIELD |
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