Maxey, Bradford Wayne

Maxey, Bradford Wayne is an individual health care provider with primary practice located at 1023 Arlington St , Ada OK 74820-4042. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Maxey, Bradford Wayne can be contacted via phone (580) 436-4400.

Contact Information

Primary practice address
1023 Arlington St Ada OK 74820-4042
Phone: (580) 436-4400
Fax: (580) 436-4406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00170 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 709 Oklahoma

Profile Details

NPI number 1760594378
LBN Legal business name Maxey, Bradford Wayne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 7th, 2019 - about 7 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 1760594378 NPPES
Texas Other 87N208 BCBS
Texas Other 970012800 BCBS

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