Delportillo, Madeleine
Delportillo, Madeleine is an individual health care provider with primary practice located at 2701 North Decatur Rd , Decatur GA 30034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Delportillo, Madeleine can be contacted via phone (404) 501-1843.Contact Information
Primary practice address
2701 North Decatur Rd
Decatur GA 30034
Phone: (404) 501-1843
Fax: (404) 501-1837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 021672 | Georgia |
Profile Details
| NPI number | 1174609390 |
|---|---|
| LBN Legal business name | Delportillo, Madeleine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Feb 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174609390 | NPPES |
| Georgia | MEDICAID | 000244703AG | |
| Georgia | MEDICAID | 000244703AH | |
| Georgia | Other | 06581141 |
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