Maxwell, Trevor W

Maxwell, Trevor W is an individual health care provider with primary practice located at 141 E Indiana Av Ste B , Deland FL 32724-4329. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maxwell, Trevor W can be contacted via phone (386) 734-2522.

Contact Information

Primary practice address
141 E Indiana Av Ste B Deland FL 32724-4329
Phone: (386) 734-2522
Fax: (386) 734-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7957 Florida

Profile Details

NPI number 1225048044
LBN Legal business name Maxwell, Trevor W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225048044 NPPES
Florida Other AO988Z MEDICARE ID-PTAN
Florida MEDICAID 381396700 MEDICARE ID-PTAN
Florida Other 53880 MEDICARE ID-PTAN

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