Madden, David M
Madden, David M is an individual health care provider with primary practice located at 777 Hospital Way Suite 215, Pocatello ID 83201-5162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Madden, David M can be contacted via phone (208) 239-2580.Contact Information
Primary practice address
777 Hospital Way Suite 215
Pocatello ID 83201-5162
Phone: (208) 239-2580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M5021 | Idaho |
Profile Details
| NPI number | 1518905413 |
|---|---|
| LBN Legal business name | Madden, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 19th, 2014 - about 10 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 | 1518905413 | NPPES |
| Idaho | MEDICAID | 804254800 | |
| Idaho | Other | M5021 |
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