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Contact Information

MAXWELL MBAH
731 SUNNYFIELD LN
BROOKLYN, MD21225-3364
 Phone: 954-309-4017
 Fax: 410-636-6029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

376G00000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MAXWELL MBAH · (Male)

NPI # 1497318182
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2019
Last updated 04/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MD License # LP51025
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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