Maddock, Faith Elise
Maddock, Faith Elise is an sole proprietor health care provider with primary practice located at 3200 W Centre Ave Ste 203 , Portage MI 49024-4889. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maddock, Faith Elise can be contacted via phone (269) 324-0799.Contact Information
Primary practice address
3200 W Centre Ave Ste 203
Portage MI 49024-4889
Phone: (269) 324-0799
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704378304 | Michigan |
Profile Details
NPI number | 1477218279 |
---|---|
LBN Legal business name | Maddock, Faith Elise |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 5th, 2021 |
Last updated | Nov 29th, 2021 - 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.
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