Maxon, Robin

Maxon, Robin is an individual health care provider with primary practice located at 1613 5Th St , La Grande OR 97850-2515. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Maxon, Robin can be contacted via phone (541) 605-0550.

Contact Information

Primary practice address
1613 5Th St La Grande OR 97850-2515
Phone: (541) 605-0550
Fax: (541) 605-0552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 21908 Oregon

Profile Details

NPI number 1871711929
LBN Legal business name Maxon, Robin
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jan 7th, 2015 - about 10 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 1871711929 NPPES
Oregon Other 028030000 BLUE CROSS BLUE SHIELD
Oregon Other 640003829 BLUE CROSS BLUE SHIELD
Oregon MEDICAID 158836 BLUE CROSS BLUE SHIELD
Oregon Other I056301 BLUE CROSS BLUE SHIELD

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