Maddox, John L
Maddox, John L is an individual health care provider with primary practice located at 500 Salem St , Wilmington MA 01887-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maddox, John L can be contacted via phone (978) 988-6209.Contact Information
Primary practice address
500 Salem St
Wilmington MA 01887-1200
Phone: (978) 988-6209
Fax: (978) 988-6139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 211906 | Massachusetts |
Profile Details
NPI number | 1801887229 |
---|---|
LBN Legal business name | Maddox, John L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2005 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801887229 | NPPES |
Massachusetts | MEDICAID | 0149110 |
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