Maynard, Philip Cameron
Maynard, Philip Cameron is an sole proprietor health care provider with primary practice located at 8922 S Memorial Dr Ste C1 , Tulsa OK 74133-4343. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maynard, Philip Cameron can be contacted via phone (918) 704-3999.Contact Information
Primary practice address
8922 S Memorial Dr Ste C1
Tulsa OK 74133-4343
Phone: (918) 704-3999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3994 | Oklahoma |
Profile Details
| NPI number | 1215239066 |
|---|---|
| LBN Legal business name | Maynard, Philip Cameron |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Jun 25th, 2024 - about 2 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 | 1215239066 | NPPES |
| Oklahoma | Other | OKB6037 | PTAN# |
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