Madden, Jeffrey W.
Madden, Jeffrey W. is an individual health care provider with primary practice located at 527 Medical Park Dr Suite 202, Bridgeport WV 26330-9007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Madden, Jeffrey W. can be contacted via phone (304) 933-3850.Contact Information
Primary practice address
527 Medical Park Dr Suite 202
Bridgeport WV 26330-9007
Phone: (304) 933-3850
Fax: (304) 933-3859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20432 | West Virginia |
Profile Details
| NPI number | 1255368445 |
|---|---|
| LBN Legal business name | Madden, Jeffrey W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Apr 5th, 2022 - about 3 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 | 1255368445 | NPPES |
| Washington | Other | 001721899 | BLUE CROSS PROVIDER NUMBE |
| Washington | Other | 550748648 | BLUE CROSS PROVIDER NUMBE |
| Washington | MEDICAID | 2002872000 | BLUE CROSS PROVIDER NUMBE |
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