Maddox, James Alan

Maddox, James Alan is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maddox, James Alan can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2099
Phone: (541) 267-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00034602 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD198698 Oregon

Profile Details

NPI number 1932216751
LBN Legal business name Maddox, James Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Sep 14th, 2020 - about 4 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 1932216751 NPPES
Oregon MEDICAID 500781314

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