Maddox, Marc C

Maddox, Marc C is an individual health care provider with primary practice located at 600 E 5Th St , Fulton MO 65251-1753. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Maddox, Marc C can be contacted via phone (573) 592-2623.

Contact Information

Primary practice address
600 E 5Th St Fulton MO 65251-1753
Phone: (573) 592-2623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01196 Missouri

Profile Details

NPI number 1669414751
LBN Legal business name Maddox, Marc C
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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