Maxine Bonnie Ingham in Henderson - Addiction Medicine
Maxine Bonnie Ingham - NPI 1730294455
Maxine Bonnie Ingham is a Addiction Medicine in Henderson, Nevada. Maxine Bonnie Ingham practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Maxine Bonnie Ingham is 1730294455. The last update date is 2021-10-25.
Maxine Bonnie Ingham's current location address is 2756 N Green Valley Pkwy, Henderson, Nevada. You can contact this provider via phone number 7023678204. The mailing address for Maxine Bonnie Ingham is 2756 N Green Valley Pkwy, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maxine Bonnie Ingham |
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Address | 2756 N Green Valley Pkwy, Henderson, Nevada |
Phone Number | 7023678204 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1730294455 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2021-10-25 |
Provider Mailing Address Detail
Address | 2756 N Green Valley Pkwy |
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City | Henderson |
State | Nevada (NV) |
Post Code | 890142120 |
Phone Number | 7023678204 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Licence No | 8528 |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2016755 | NV | -- |
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What is the unique identification code assigned to Maxine Bonnie Ingham by the Centers for Medicare & Medicaid Services?
The Maxine Bonnie Ingham has been issued the NPI (National Provider Identifier) 1730294455. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Maxine Bonnie Ingham is physically located?
The Maxine Bonnie Ingham is situated at the following address: 2756 N Green Valley Pkwy, Henderson, NV 890142120.
What is Maxine Bonnie Ingham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Maxine Bonnie Ingham is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
On what date did the Maxine Bonnie Ingham receive its 1730294455 assignment from the Centers for Medicare & Medicaid Services?
The Maxine Bonnie Ingham was assigned its 1730294455 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details related to Maxine Bonnie Ingham most recently updated or revised?
The information pertaining to Maxine Bonnie Ingham, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-25.
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