Madison, Michael Edward

Madison, Michael Edward is an individual health care provider with primary practice located at 2094 E State St Ste B , Salem OH 44460-4409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Madison, Michael Edward can be contacted via phone (330) 337-8709.

Contact Information

Primary practice address
2094 E State St Ste B Salem OH 44460-4409
Phone: (330) 337-8709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 35-06-9908-M Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-06-9908-M Ohio

Profile Details

NPI number 1093866147
LBN Legal business name Madison, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Feb 3rd, 2023 - about 2 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 1093866147 NPPES
Ohio MEDICAID 2116338

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