Maddox, John Coulter

Maddox, John Coulter is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd , Newport News VA 23601-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Maddox, John Coulter can be contacted via phone (757) 594-2160.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Newport News VA 23601-1929
Phone: (757) 594-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101032554 Virginia

Profile Details

NPI number 1053309542
LBN Legal business name Maddox, John Coulter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 12th, 2018 - about 6 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 1053309542 NPPES
Other 220017179 RAILROAD MEDICARE
MEDICAID 006660819 RAILROAD MEDICARE
MEDICAID 890559X RAILROAD MEDICARE

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