Madore, Eric S
Madore, Eric S is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Madore, Eric S can be contacted via phone (903) 510-1186.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L8117 | Texas |
Profile Details
| NPI number | 1982678884 |
|---|---|
| LBN Legal business name | Madore, Eric S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | May 12th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982678884 | NPPES |
| Texas | Other | TIN PLUS 042 | TRICARE |
| Texas | MEDICAID | 164585502 | TRICARE |
| Texas | Other | 8J1055 | TRICARE |
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