Maxwell, J Matthew

Maxwell, J Matthew is an individual health care provider with primary practice located at 350 Heritage Way Ste 2100 , Kalispell MT 59901-3167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Maxwell, J Matthew can be contacted via phone (406) 257-8993.

Contact Information

Primary practice address
350 Heritage Way Ste 2100 Kalispell MT 59901-3167
Phone: (406) 257-8993
Fax: (406) 257-8996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MED-PHYS-LIC-8175 Montana

Profile Details

NPI number 1932137213
LBN Legal business name Maxwell, J Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 19th, 2024 - about 2 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 1932137213 NPPES
Montana MEDICAID 0108602

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