Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4266 | OH |
N | 111NR0400X | Rehabilitation Chiropractor | 2008006556 | MO |
NPI | 1215062757 |
---|---|
Provider Name | Dr. Douglas Paul Maxeiner |
First Address | New Albany, OH 43054-7001 |
Second Address | New Albany, OH 43054-7091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 07/03/2019 |