Madison, Betty

Madison, Betty is an individual health care provider with primary practice located at 1504 Springhill Ave Suite 1430, Mobile AL 36604-3207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Madison, Betty can be contacted via phone (251) 405-5147.

Contact Information

Primary practice address
1504 Springhill Ave Suite 1430 Mobile AL 36604-3207
Phone: (251) 405-5147
Fax: (251) 434-3852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-054887 Alabama

Profile Details

NPI number 1265486435
LBN Legal business name Madison, Betty
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 15th, 2008 - about 16 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 1265486435 NPPES
Alabama Other 51506873 BLUE CROSS
Alabama Other 51506874 BLUE CROSS
Alabama MEDICAID 00125714 BLUE CROSS

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