Madow, Evan Jared

Madow, Evan Jared is an sole proprietor health care provider with primary practice located at 7500 Bryan Dairy Rd Suite A, Largo FL 33777-1437. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Madow, Evan Jared can be contacted via phone (727) 548-8100.

Contact Information

Primary practice address
7500 Bryan Dairy Rd Suite A Largo FL 33777-1437
Phone: (727) 548-8100
Fax: (727) 548-8112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0006389 Florida

Profile Details

NPI number 1548319817
LBN Legal business name Madow, Evan Jared
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1548319817 NPPES
Florida Other 44-88108 UNITED HEALTHCARE
Florida Other 22693 UNITED HEALTHCARE

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