Provider Demographics
NPI:1972327369
Name:MAXIMAL BUSINESS HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:MAXIMAL BUSINESS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-256-4746
Mailing Address - Street 1:6309 OAK MIDDLE CT APT 302
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-4868
Mailing Address - Country:US
Mailing Address - Phone:804-256-4746
Mailing Address - Fax:804-613-3401
Practice Address - Street 1:6309 OAK MIDDLE CT APT 302
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-4868
Practice Address - Country:US
Practice Address - Phone:804-256-4746
Practice Address - Fax:804-613-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty