Maxey, David Joel
Maxey, David Joel is an sole proprietor health care provider with primary practice located at 4741 N Broadway St , Knoxville TN 37918-1793. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maxey, David Joel can be contacted via phone (865) 804-4479.Contact Information
Primary practice address
4741 N Broadway St
Knoxville TN 37918-1793
Phone: (865) 804-4479
Fax: (865) 687-7911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW3801 | Tennessee |
Profile Details
| NPI number | 1801895305 |
|---|---|
| LBN Legal business name | Maxey, David Joel |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jun 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801895305 | NPPES |
| Tennessee | MEDICAID | 3924830 |
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