Jen, Maxwell
Jen, Maxwell is an individual health care provider with primary practice located at 17400 Irvine Blvd Ste N , Tustin CA 92780-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jen, Maxwell can be contacted via phone (111) 111-1111.Contact Information
Primary practice address
17400 Irvine Blvd Ste N
Tustin CA 92780-3030
Phone: (111) 111-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A130209 | California |
Profile Details
| NPI number | 1154688810 |
|---|---|
| LBN Legal business name | Jen, Maxwell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Dec 6th, 2021 - about 5 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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