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Individual
DR. RICHARD J MAYNARD JR.
Active
Individual
DR. RICHARD J MAYNARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OH3214
OH
111NR0400X
Rehabilitation Chiropractor
OH3214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283603
—
OH
01
—
31-0991279
TAX ID
OH
01
—
P00465005
RAILROAD MEDICARE
OH
Enumeration date
11/07/2006
Last updated
05/01/2008
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