Fisher, Maxwell Ellis

Fisher, Maxwell Ellis is an individual health care provider with primary practice located at 511 Paladin Dr , Greenville NC 27834-7826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fisher, Maxwell Ellis can be contacted via phone (252) 752-8880.

Contact Information

Primary practice address
511 Paladin Dr Greenville NC 27834-7826
Phone: (252) 752-8880
Fax: (252) 317-2092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 200400329 North Carolina

Profile Details

NPI number 1962404103
LBN Legal business name Fisher, Maxwell Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 20th, 2011 - about 15 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 1962404103 NPPES
North Carolina MEDICAID 89128K0

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