Maddox, Heather E

Maddox, Heather E is an individual health care provider with primary practice located at 500 W. Broadway , Missoula MT 59802-4003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maddox, Heather E can be contacted via phone (406) 721-5600.

Contact Information

Primary practice address
500 W. Broadway Missoula MT 59802-4003
Phone: (406) 721-5600
Fax: (406) 721-3907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101231026 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11962 Montana

Profile Details

NPI number 1578558094
LBN Legal business name Maddox, Heather E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jan 11th, 2016 - about 8 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 1578558094 NPPES
Virginia MEDICAID 010003105

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