Madero, Enoc Eduardo

Madero, Enoc Eduardo is an sole proprietor health care provider with primary practice located at 6036 Brambleberry Way , Raleigh NC 27616-6618. He recently has 4 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is his primary health care specialty. Madero, Enoc Eduardo can be contacted via phone (919) 593-7602.

Contact Information

Primary practice address
6036 Brambleberry Way Raleigh NC 27616-6618
Phone: (919) 593-7602
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X North Carolina
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X North Carolina

Profile Details

NPI number 1356588578
LBN Legal business name Madero, Enoc Eduardo
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2009
Last updated Jun 10th, 2015 - about 10 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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