Maccollum, Maxwell S

Maccollum, Maxwell S is an individual health care provider with primary practice located at 10450 W Mcdowell Rd Ste 102, Avondale AZ 85392-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Maccollum, Maxwell S can be contacted via phone (623) 846-1746.

Contact Information

Primary practice address
10450 W Mcdowell Rd Ste 102 Avondale AZ 85392-4802
Phone: (623) 846-1746
Fax: (623) 846-0993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18546 Arizona

Profile Details

NPI number 1922091503
LBN Legal business name Maccollum, Maxwell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 25th, 2022 - 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 1922091503 NPPES
Arizona MEDICAID 286642
Arizona Other 3Z3988

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