Maxwell, Phillip Gerard
Maxwell, Phillip Gerard is an individual health care provider with primary practice located at 1000 Beltline Road Suite V-1, Decatur AL 35601-6264. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maxwell, Phillip Gerard can be contacted via phone (256) 350-1166.Contact Information
Primary practice address
1000 Beltline Road Suite V-1
Decatur AL 35601-6264
Phone: (256) 350-1166
Fax: (256) 350-5744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1215 | Alabama |
Profile Details
| NPI number | 1871581751 |
|---|---|
| LBN Legal business name | Maxwell, Phillip Gerard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1871581751 | NPPES |
| Alabama | Other | 72542 | BC/BS |
| Alabama | Other | P00133177 | BC/BS |
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