Mady, James John
Mady, James John is an sole proprietor health care provider with primary practice located at 2323 S Babcock St Suite B, Melbourne FL 32901-5300. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mady, James John can be contacted via phone (321) 802-3430.Contact Information
Primary practice address
2323 S Babcock St Suite B
Melbourne FL 32901-5300
Phone: (321) 802-3430
Fax: (321) 802-6031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8977 | Florida |
Profile Details
NPI number | 1841413572 |
---|---|
LBN Legal business name | Mady, James John |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2007 |
Last updated | Jan 17th, 2017 - about 8 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 | 1841413572 | NPPES |
South Carolina | MEDICAID | PS0133 |
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