Maxfield, Adam S
Maxfield, Adam S is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Maxfield, Adam S can be contacted via phone (208) 381-2094.Contact Information
Primary practice address
190 E Bannock St
Boise ID 83712-6241
Phone: (208) 381-2094
Fax: (208) 381-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 46043 | Minnesota |
Profile Details
| NPI number | 1295705002 |
|---|---|
| LBN Legal business name | Maxfield, Adam S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295705002 | NPPES |
| Idaho | MEDICAID | 808003300 |
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