Maxwell, Mary
Maxwell, Mary is an individual health care provider with primary practice located at 1175 58Th Ave Ste 202, Greeley CO 80634-4807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Maxwell, Mary can be contacted via phone (970) 495-0300.Contact Information
Primary practice address
1175 58Th Ave Ste 202
Greeley CO 80634-4807
Phone: (970) 495-0300
Fax: (970) 224-9624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 26903 | Colorado |
Profile Details
| NPI number | 1649265265 |
|---|---|
| LBN Legal business name | Maxwell, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649265265 | NPPES |
| Colorado | MEDICAID | 01269034 | |
| Colorado | Other | P00396253 | |
| Colorado | Other | 121925100 | |
| Colorado | Other | 313017 |
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