Maynard, Mike John

Maynard, Mike John is an individual health care provider with primary practice located at 4655 Ruffner St Ste. 270, San Diego CA 92111-2275. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Maynard, Mike John can be contacted via phone (800) 787-6787.

Contact Information

Primary practice address
4655 Ruffner St Ste. 270 San Diego CA 92111-2275
Phone: (800) 787-6787
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3934 California

Profile Details

NPI number 1700901253
LBN Legal business name Maynard, Mike John
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
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.

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