Maddix, Gwen Ellen

Maddix, Gwen Ellen is an sole proprietor health care provider with primary practice located at 3436 W Malapai , Phx AZ 85051. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Maddix, Gwen Ellen can be contacted via phone (602) 570-5742.

Contact Information

Primary practice address
3436 W Malapai Phx AZ 85051
Phone: (602) 570-5742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X

Profile Details

NPI number 1073680195
LBN Legal business name Maddix, Gwen Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Feb 3rd, 2011 - about 15 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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