Madison, John Robert
Madison, John Robert is an individual health care provider with primary practice located at 2094 E State St Ste D , Salem OH 44460-4409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Madison, John Robert can be contacted via phone (330) 337-7316.Contact Information
Primary practice address
2094 E State St Ste D
Salem OH 44460-4409
Phone: (330) 337-7316
Fax: (330) 337-1765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35-0243-06 | Ohio |
Profile Details
| NPI number | 1598816639 |
|---|---|
| LBN Legal business name | Madison, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1598816639 | NPPES |
| Ohio | MEDICAID | 0078866 |
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