Maddox, Jill M.
Maddox, Jill M. is an individual health care provider with primary practice located at 1815 E Ireland Rd , South Bend IN 46614-2845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maddox, Jill M. can be contacted via phone (574) 647-1700.Contact Information
Primary practice address
1815 E Ireland Rd
South Bend IN 46614-2845
Phone: (574) 647-1700
Fax: (574) 291-3351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002976 | Indiana |
Profile Details
| NPI number | 1437388220 |
|---|---|
| LBN Legal business name | Maddox, Jill M. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2009 |
| Last updated | May 1st, 2023 - 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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