Maxey, James W

Maxey, James W is an individual health care provider with primary practice located at 303 N William Kumpf Blvd , Peoria IL 61605-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Maxey, James W can be contacted via phone (309) 676-5546.

Contact Information

Primary practice address
303 N William Kumpf Blvd Peoria IL 61605-2507
Phone: (309) 676-5546
Fax: (309) 676-5045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36082319 Illinois

Profile Details

NPI number 1740280478
LBN Legal business name Maxey, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Dec 4th, 2009 - about 17 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 1740280478 NPPES
Illinois MEDICAID 36082319

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