Maddock, Jeffrey Thomas

Maddock, Jeffrey Thomas is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Maddock, Jeffrey Thomas can be contacted via phone (701) 530-5304.

Contact Information

Primary practice address
900 E Broadway Ave Bismarck ND 58501-4520
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 18369 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18369 North Dakota

Profile Details

NPI number 1922450790
LBN Legal business name Maddock, Jeffrey Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Dec 18th, 2023 - about last year

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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