Maddox, Sonja

Maddox, Sonja is an individual health care provider with primary practice located at 601 S Carr Rd Suite 100, Renton WA 98055-5866. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maddox, Sonja can be contacted via phone (425) 227-3700.

Contact Information

Primary practice address
601 S Carr Rd Suite 100 Renton WA 98055-5866
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00040495 Washington

Profile Details

NPI number 1295732113
LBN Legal business name Maddox, Sonja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 16th, 2021 - about 3 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 1295732113 NPPES
Washington MEDICAID 8312449

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