Madison, Adam

Madison, Adam is an sole proprietor health care provider with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Madison, Adam can be contacted via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1952768566
LBN Legal business name Madison, Adam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2016
Last updated Jan 27th, 2016 - about 8 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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