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Contact Information

JORDAN MAXWELL, DO
1701 S CREASY LN
LAFAYETTE, IN47905-4972
 Phone: 765-502-4780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JORDAN MAXWELL · (Female)

NPI # 1356790851
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/07/2016
Last updated 08/11/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 02007042A
  • MI License # 5101022569
  • MI License # 5101025758
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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