Madoux, Demille W
Madoux, Demille W is an individual health care provider with primary practice located at 8105 Nw Expressway , Oklahoma City OK 73162-6004. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Madoux, Demille W can be contacted via phone (405) 602-3500.Contact Information
Primary practice address
8105 Nw Expressway
Oklahoma City OK 73162-6004
Phone: (405) 602-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 15810 | Oklahoma |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15810 | Oklahoma |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15810 | Oklahoma |
Profile Details
NPI number | 1215994868 |
---|---|
LBN Legal business name | Madoux, Demille W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
Last updated | May 2nd, 2017 - about 7 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 | 1215994868 | NPPES |
Oklahoma | MEDICAID | 100123810C |
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