Madara, Jose L

Madara, Jose L is an sole proprietor health care provider with primary practice located at 102 Hotel St , Booneville MS 38829-3303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Madara, Jose L can be contacted via phone (662) 728-7711.

Contact Information

Primary practice address
102 Hotel St Booneville MS 38829-3303
Phone: (662) 728-7711
Fax: (661) 728-7713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 7928 Mississippi

Profile Details

NPI number 1376739953
LBN Legal business name Madara, Jose L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 18 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.

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