Maddux, Andreas Tirso
Maddux, Andreas Tirso is an sole proprietor health care provider with primary practice located at 3240 Edwards Lake Pkwy 204, Birmingham AL 35235-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maddux, Andreas Tirso can be contacted via phone (205) 949-1414.Contact Information
Primary practice address
3240 Edwards Lake Pkwy 204
Birmingham AL 35235-3117
Phone: (205) 949-1414
Fax: (205) 949-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 00013482 | Alabama |
Profile Details
| NPI number | 1316985062 |
|---|---|
| LBN Legal business name | Maddux, Andreas Tirso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 24th, 2020 - about 5 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 | 1316985062 | NPPES |
| Alabama | Other | 1043321300 | GROUP NPI |
| Alabama | Other | 1316985062 | GROUP NPI |
| Alabama | MEDICAID | 051553190 | GROUP NPI |
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