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Contact Information

ALAN M MAYNARD, LAT, ATC
213A PATRICK GYMNASIUM
97 SPEAR ST.
BURLINGTON, VT05405-0001
 Phone: 802-656-7678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ALAN M MAYNARD · (Male)

NPI Number 1477595452
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 06/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 1040000092
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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