Mr Joseph Sean Maynard, APC | |
58 S 950 W, Brigham City, UT 84302-4424 | |
(435) 538-5061 | |
Not Available |
Full Name | Mr Joseph Sean Maynard |
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Gender | Male |
Speciality | Counselor |
Location | 58 S 950 W, Brigham City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861784084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | 7744640-6009 (Utah) | Primary |
Entity Name | Bear River Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285736553 PECOS PAC ID: 0840102356 Enrollment ID: O20031103000725 |
Mailing Address | Practice Location Address |
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Mr Joseph Sean Maynard, APC Po Box 526, Brigham City, UT 84302-0526 Ph: () - | Mr Joseph Sean Maynard, APC 58 S 950 W, Brigham City, UT 84302-4424 Ph: (435) 538-5061 |
Matthew Lamar Huff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 S 800 W, Brigham City, UT 84302 Phone: 435-723-8548 Fax: 435-538-5066 | |
Shanua Buck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 S 800 W, Brigham City, UT 84302 Phone: 435-723-8548 | |
Alexandra Rosales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 S 800 W, Brigham City, UT 84302 Phone: 435-239-8445 | |
Tein Daniel Hawke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 862 S Main Suite 4, Brigham City, UT 84302 Phone: 435-723-1799 | |
Jesus Franco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 S 800 W, Brigham City, UT 84302 Phone: 435-723-8548 | |
Esmeralda Gil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 S 800 W, Brigham City, UT 84302 Phone: 435-239-8445 | |
William Miller I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 862 S Main Suite 4, Brigham City, UT 84302 Phone: 435-723-1799 |