Maddox, Daniel Eugene

Maddox, Daniel Eugene is an individual health care provider with primary practice located at 1220 Lone Pine Dr Sw , Rochester MN 55902-8406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Maddox, Daniel Eugene can be contacted via phone (507) 287-0318.

Contact Information

Primary practice address
1220 Lone Pine Dr Sw Rochester MN 55902-8406
Phone: (507) 287-0318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 26863 Minnesota
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 26863 Minnesota

Profile Details

NPI number 1972582450
LBN Legal business name Maddox, Daniel Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jan 5th, 2022 - about 2 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 1972582450 NPPES
Minnesota MEDICAID 552725200

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