Maxvold, Norma J

Maxvold, Norma J is an individual health care provider with primary practice located at 1250 E Marshall Street Pediatrics, Richmond VA 23298-0510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Maxvold, Norma J can be contacted via phone (804) 828-3744.

Contact Information

Primary practice address
1250 E Marshall Street Pediatrics Richmond VA 23298-0510
Phone: (804) 828-3744
Fax: (804) 828-8559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 4301057500 Michigan
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101249232 Virginia

Profile Details

NPI number 1174594535
LBN Legal business name Maxvold, Norma J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174594535 NPPES
Michigan Other 350D176310 BCBSM GROUP #
Michigan Other 1558407189 BCBSM GROUP #
Michigan MEDICAID 4532126 BCBSM GROUP #

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