National Provider Identifier Database

MAIC PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

MAIC PC
1509 UNION AVE
MEMPHIS, TN38104
Phone: 901-278-5156
Fax: 901-278-5161
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Chiropractor 111N00000X
Physical Medicine & Rehabilitation 208100000X

* Indicates primary specialty

NPI Profile & details for MAIC PC

NPI Number 1427224856
Legal business name
LBN
MAIC PC
Authorized official ROGER BYRD - (SEC)
Entity Organization
Organization subpart Yes
Enumeration date 05/06/2008
Last updated 05/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 11736
  • TN License #: 1470
  • TN License #: APN0000005344

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.

Reviews for MAIC PC

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