Campbell-Flint, Maxine Elizabeth

Campbell-Flint, Maxine Elizabeth is an sole proprietor health care provider with primary practice located at 412 N 4Th St Suite 100, Baton Rouge LA 70802-5523. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Campbell-Flint, Maxine Elizabeth can be contacted via phone (225) 719-1988.

Contact Information

Primary practice address
412 N 4Th St Suite 100 Baton Rouge LA 70802-5523
Phone: (225) 719-1988
Fax: (888) 719-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X MP.000028 Louisiana

Profile Details

NPI number 1093860371
LBN Legal business name Campbell-Flint, Maxine Elizabeth
Credentials PHD, MP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093860371 NPPES
Louisiana MEDICAID 1563439

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