Mcleod, Max

Mcleod, Max is an individual health care provider with primary practice located at 1220 Berard St Suite B, Breaux Bridge LA 70517-4865. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcleod, Max can be contacted via phone (337) 332-6120.

Contact Information

Primary practice address
1220 Berard St Suite B Breaux Bridge LA 70517-4865
Phone: (337) 332-6120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0170 Louisiana

Profile Details

NPI number 1033178074
LBN Legal business name Mcleod, Max
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
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 1033178074 NPPES
Louisiana Other 70517 A002 CHAMPUS
Louisiana Other B4436 CHAMPUS
Louisiana Other 11836051 CHAMPUS
Louisiana Other 6500128565 E0303 CHAMPUS

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