Maxwell, John E

Maxwell, John E is an individual health care provider with primary practice located at 109 Circle Dr , West Monroe LA 71291-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Maxwell, John E can be contacted via phone (318) 323-1834.

Contact Information

Primary practice address
109 Circle Dr West Monroe LA 71291-5303
Fax: (318) 323-0376
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 020373 Louisiana

Profile Details

NPI number 1942201660
LBN Legal business name Maxwell, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 22nd, 2016 - about 10 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 1942201660 NPPES
Louisiana Other 10984058 CAQH ID#
Louisiana MEDICAID 1534901 CAQH ID#
Louisiana Other P01310356 CAQH ID#

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