Maxcey, Walter Clinton

Maxcey, Walter Clinton is an individual health care provider with primary practice located at 1601 N Broadway Ave , Ada OK 74820-1403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Maxcey, Walter Clinton can be contacted via phone (580) 421-7850.

Contact Information

Primary practice address
1601 N Broadway Ave Ada OK 74820-1403
Phone: (580) 421-7850
Fax: (580) 421-7855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 120518 Oklahoma

Profile Details

NPI number 1265943476
LBN Legal business name Maxcey, Walter Clinton
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2017
Last updated Mar 19th, 2018 - about 8 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 1265943476 NPPES
Oklahoma MEDICAID 200744650A

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