Maddox, Denis E
Maddox, Denis E is an sole proprietor health care provider with primary practice located at 2901 Sillect Ave Suite 100, Bakersfield CA 93308-6371. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Maddox, Denis E can be contacted via phone (661) 323-8384.Contact Information
Primary practice address
2901 Sillect Ave Suite 100
Bakersfield CA 93308-6371
Phone: (661) 323-8384
Fax: (661) 323-9326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G24697 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G24697 | California |
Profile Details
| NPI number | 1922097146 |
|---|---|
| LBN Legal business name | Maddox, Denis E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 7th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922097146 | NPPES |
| California | MEDICAID | 00G246970 | |
| California | Other | ZZZ05742Z |
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