Madden, Nicholas Andrew
Madden, Nicholas Andrew is an individual health care provider with primary practice located at 3850 S National Ave , Springfield MO 65807-5287. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Madden, Nicholas Andrew can be contacted via phone (174) 269-6115.Contact Information
Primary practice address
3850 S National Ave
Springfield MO 65807-5287
Phone: (174) 269-6115
Fax: (417) 269-6679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2019017045 | Missouri |
Profile Details
| NPI number | 1083903785 |
|---|---|
| LBN Legal business name | Madden, Nicholas Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Aug 16th, 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 | 1083903785 | NPPES |
| Missouri | MEDICAID | 200070335 |
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