Maynard, Anne

Maynard, Anne is an individual health care provider with primary practice located at 21000 E 12 Mile Rd Ste 111 , Saint Clair Shores MI 48081-1156. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Maynard, Anne can be contacted via phone (586) 779-7610.

Contact Information

Primary practice address
21000 E 12 Mile Rd Ste 111 Saint Clair Shores MI 48081-1156
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1306852090
LBN Legal business name Maynard, Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 9th, 2026 - about 7 months 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 1306852090 NPPES
Michigan Other 540E016260 BXBSM
Michigan MEDICAID 4670383 BXBSM

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