Maddox, Regina Marie

Maddox, Regina Marie is an individual health care provider with primary practice located at 4797 Prosperity Pl , Cincinnati OH 45238. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Maddox, Regina Marie can be contacted via phone (513) 787-6114.

Contact Information

Primary practice address
4797 Prosperity Pl Cincinnati OH 45238
Phone: (513) 787-6114
Fax: (513) 921-7525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1780710251
LBN Legal business name Maddox, Regina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1780710251 NPPES
Ohio MEDICAID 2425405

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