Madsen, John Edward
Madsen, John Edward is an individual health care provider with primary practice located at 234A Bank St , New London CT 06320-6054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Madsen, John Edward can be contacted via phone (860) 442-0290.Contact Information
Primary practice address
234A Bank St
New London CT 06320-6054
Phone: (860) 442-0290
Fax: (860) 442-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 016619 | Connecticut |
Profile Details
| NPI number | 1144286667 |
|---|---|
| LBN Legal business name | Madsen, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Dec 20th, 2012 - about 12 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 | 1144286667 | NPPES |
| Connecticut | MEDICAID | 001168194 |
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