Maxwell, Coby
Maxwell, Coby is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Maxwell, Coby can be contacted via phone (317) 802-3146.Contact Information
Primary practice address
1111 Ronald Reagan Pkwy
Avon IN 46123-7085
Phone: (317) 802-3146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01050906 | Indiana |
Profile Details
| NPI number | 1578503769 |
|---|---|
| LBN Legal business name | Maxwell, Coby |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 18th, 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 | 1578503769 | NPPES |
| Indiana | MEDICAID | 200311750 |
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