Maxine Bonnie Ingham
Internist Internist - Addiction Medicine
2940 S Jones Blvd Suite E
Las Vegas
, Nevada 89146-5636
Maxine Bonnie Ingham
Internist Internist - Addiction Medicine
2940 S Jones Blvd Suite E
Las Vegas
, Nevada 89146-5636
(702) 367-8204
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Maxine Bonnie Ingham
- 2756 N Green Valley Pkwy #405
- Henderson, NV
- Zip : 89014-2120
- Phone : (702) 367-8204
Second Address
- Maxine Bonnie Ingham
- 2940 S Jones Blvd Suite E
- Las Vegas, NV
- Zip : 89146-5636
- Fax : (702) 247-4319
- Phone : (702) 227-6947
Reviews
FAQs
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What type of doctor is Maxine Bonnie Ingham
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Where is Maxine Bonnie Ingham ’s practice located?
What is Maxine Bonnie Ingham ’s gender?
Is Maxine Bonnie Ingham a sole practitioner?
Is Maxine Bonnie Ingham accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 8528 | NV |
| Y | 111NI0900X | Internist | 8528 | NV |
| N | 207RA0401X | Internist - Addiction Medicine | 8528 | NV |
| N | 207RA0401X | Internist - Addiction Medicine | C42144 | CA |
| N | 207RA0401X | Internist - Addiction Medicine | M-10233 | ID |
National Provider Identifier
| NPI | 1730294455 |
|---|---|
| Provider Name | Maxine Bonnie Ingham |
| First Address | Henderson, NV 89014-2120 |
| Second Address | Las Vegas, NV 89146-5636 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 25/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002016755 | (05) | NV |
| F19763 | (02) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.