Maddox, Tom Smith
Maddox, Tom Smith is an individual health care provider with primary practice located at 2845 Farrell Crescent , Owensboro KY 42303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Maddox, Tom Smith can be contacted via phone (270) 926-3297.Contact Information
Primary practice address
2845 Farrell Crescent
Owensboro KY 42303
Phone: (270) 926-3297
Fax: (270) 926-7325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 15529 | Kentucky |
Profile Details
| NPI number | 1083618938 |
|---|---|
| LBN Legal business name | Maddox, Tom Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Dec 29th, 2009 - about 15 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 | 1083618938 | NPPES |
| Kentucky | MEDICAID | 64155294 | |
| Kentucky | Other | 180007826 |
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