Maxwell, Andrew

Maxwell, Andrew is an individual health care provider with primary practice located at 1 Edmundson Pl , Council Bluffs IA 51503-4658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maxwell, Andrew can be contacted via phone (712) 396-4310.

Contact Information

Primary practice address
1 Edmundson Pl Council Bluffs IA 51503-4658
Phone: (712) 396-4310
Fax: (712) 396-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20636 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32010 Iowa

Profile Details

NPI number 1922116789
LBN Legal business name Maxwell, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 16th, 2013 - about 13 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 1922116789 NPPES
Iowa MEDICAID 1922116789
Iowa MEDICAID 47068731712

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