Maddox, Mary Charniece

Maddox, Mary Charniece is an sole proprietor health care provider with primary practice located at 665 E 159Th St , Cleveland OH 44110-2413. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Maddox, Mary Charniece can be contacted via phone (216) 703-3320.

Contact Information

Primary practice address
665 E 159Th St Cleveland OH 44110-2413
Phone: (216) 703-3320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 168309 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 520981 Ohio

Profile Details

NPI number 1497239156
LBN Legal business name Maddox, Mary Charniece
Credentials LPN,RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2018
Last updated Mar 4th, 2024 - about 9 months 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 1497239156 NPPES
Ohio MEDICAID 168398

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