Maxfield, Michelle
Maxfield, Michelle is an sole proprietor health care provider with primary practice located at 1388 Sonata Ct , Green Bay WI 54311-7397. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Maxfield, Michelle can be contacted via phone (920) 569-6762.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6306-024 | Wisconsin |
Profile Details
| NPI number | 1508982158 |
|---|---|
| LBN Legal business name | Maxfield, Michelle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Sep 24th, 2014 - about 12 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 | 1508982158 | NPPES |
| Wisconsin | MEDICAID | 40343400 |
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