Dax, Maxi Edra

Dax, Maxi Edra is an sole proprietor health care provider with primary practice located at 200 North 400 East , Panguitch UT 84759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dax, Maxi Edra can be contacted via phone (435) 690-1246.

Contact Information

Primary practice address
200 North 400 East Panguitch UT 84759
Phone: (435) 690-1246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10079306-1206 Utah

Profile Details

NPI number 1538617014
LBN Legal business name Dax, Maxi Edra
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2016
Last updated Jan 25th, 2024 - about 2 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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