PHILIP A MAYNARD, DPM, Surgery, Foot HASTINGS, NE

Contact Information

PHILIP A MAYNARD, DPM

416 N MINNESOTA AVE
HASTINGS, NE 68901-5254

Phone: 402-462-2788
Fax: 402-462-4783
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot	213ES0131X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for PHILIP A MAYNARD · (Male)

NPI #	`1619970381`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	05/24/2005
Last updated	01/02/2013 - About 13 years ago
Sole proprietor ¹	Yes
Identifiers	IA License # 00365 NE License # 159 NE Medicaid 47062581300 NE Other 02513 BC-BS OF NE NE Other 1197710001 DME NORIDAN NE Other 480021803 RAILROAD MEDICARE
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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PHILIP A MAYNARD, DPM – NPI #1619970381Surgery, Foot

Contact Information

Specialty

Surgery, Foot

Podiatrist

NPI Profile & details for PHILIP A MAYNARD · (Male)

Reviews for PHILIP A MAYNARD

PHILIP A MAYNARD, DPM – NPI #1619970381
Surgery, Foot