Maxwell, Douglas

Maxwell, Douglas is an individual health care provider with primary practice located at 1350 E County Line Rd Suite L, Indianapolis IN 46227-0873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maxwell, Douglas can be contacted via phone (317) 865-8530.

Contact Information

Primary practice address
1350 E County Line Rd Suite L Indianapolis IN 46227-0873
Phone: (317) 865-8530
Fax: (317) 865-8539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01022037A Indiana

Profile Details

NPI number 1043205800
LBN Legal business name Maxwell, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 22nd, 2008 - about 18 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 1043205800 NPPES
Indiana MEDICAID 100099210

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