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
Phone: (701) 530-5304
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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