Maddox, Chaundra J

Maddox, Chaundra J is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 3500, Huntington WV 25701-3656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maddox, Chaundra J can be contacted via phone (304) 691-1300.

Contact Information

Primary practice address
1600 Medical Center Dr Suite 3500 Huntington WV 25701-3656
Phone: (304) 691-1300
Fax: (304) 691-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19854 West Virginia

Profile Details

NPI number 1699739904
LBN Legal business name Maddox, Chaundra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699739904 NPPES
Ohio MEDICAID 2149642
Ohio MEDICAID 64000003
Ohio MEDICAID 6700369000

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