Maddux, John Jeffery
Maddux, John Jeffery is an individual health care provider with primary practice located at 1121 Sw 97Th Ave , Pembroke Pines FL 33025-3680. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maddux, John Jeffery can be contacted via phone (954) 881-3294.Contact Information
Primary practice address
1121 Sw 97Th Ave
Pembroke Pines FL 33025-3680
Phone: (954) 881-3294
Fax: (866) 398-0719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH6456 | Florida |
Profile Details
| NPI number | 1053317727 |
|---|---|
| LBN Legal business name | Maddux, John Jeffery |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Dec 29th, 2011 - about 13 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 | 1053317727 | NPPES |
| Florida | MEDICAID | 381117400 |
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