Abbott, Maxwell B
Abbott, Maxwell B is an individual health care provider with primary practice located at 2925 Ryan Dr Se , Salem OR 97301-9687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Abbott, Maxwell B can be contacted via phone (503) 399-1262.Contact Information
Primary practice address
2925 Ryan Dr Se
Salem OR 97301-9687
Phone: (503) 399-1262
Fax: (503) 371-0777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 167061 | Oregon |
Profile Details
| NPI number | 1174535090 |
|---|---|
| LBN Legal business name | Abbott, Maxwell B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 22nd, 2014 - about 12 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 | 1174535090 | NPPES |
| Oregon | MEDICAID | 500669882 |
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