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
Phone: (318) 323-1834
Fax: (318) 323-0376
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942201660 | NPPES |
| Louisiana | Other | 10984058 | CAQH ID# |
| Louisiana | MEDICAID | 1534901 | CAQH ID# |
| Louisiana | Other | P01310356 | CAQH ID# |
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