Maze, James G

Maze, James G is an individual health care provider with primary practice located at 1701 Oak Park Blvd , Lake Charles LA 70601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Maze, James G can be contacted via phone (337) 494-2121.

Contact Information

Primary practice address
1701 Oak Park Blvd Lake Charles LA 70601
Fax: (337) 494-2360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 11247R Louisiana

Profile Details

NPI number 1114059821
LBN Legal business name Maze, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114059821 NPPES
Louisiana MEDICAID 1661635

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