Madell, Spencer J.

Madell, Spencer J. is an individual health care provider with primary practice located at 142 W 5Th St , Cookeville TN 38501-1760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Madell, Spencer J. can be contacted via phone (931) 528-2541.

Contact Information

Primary practice address
142 W 5Th St Cookeville TN 38501-1760
Phone: (931) 528-2541
Fax: (931) 526-8814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31227 Tennessee

Profile Details

NPI number 1033198981
LBN Legal business name Madell, Spencer J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 3rd, 2017 - about 7 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 1033198981 NPPES
Tennessee MEDICAID 38711931
Tennessee Other 4151229
Tennessee Other P00412122

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