Maddox, James Stephen

Maddox, James Stephen is an individual health care provider with primary practice located at 286 Mitylene Park Dr , Montgomery AL 36117-3548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Maddox, James Stephen can be contacted via phone (334) 396-1555.

Contact Information

Primary practice address
286 Mitylene Park Dr Montgomery AL 36117-3548
Phone: (334) 396-1555
Fax: (334) 396-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 10825 Alabama
Allopathic & Osteopathic Physicians / Dermatology 207N00000X N5894 Arkansas

Profile Details

NPI number 1720188196
LBN Legal business name Maddox, James Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 9th, 2013 - about 11 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 1720188196 NPPES
Alabama Other 631066099 FED TAX #
Alabama MEDICAID 528501290 FED TAX #
Alabama Other 510-11674 FED TAX #
Alabama Other 511-30219 FED TAX #
Alabama Other CM4358 FED TAX #
Alabama Other 45-3970660 FED TAX #

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