Waddell, John J

Waddell, John J is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Waddell, John J can be contacted via phone (573) 632-5265.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5265
Fax: (573) 632-5948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R5P32 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R5P32 Missouri

Profile Details

NPI number 1497735724
LBN Legal business name Waddell, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 29th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497735724 NPPES
Kansas Other 3239466B RAILROAD MEDICARE- INDIV
Kansas Other CI2562 RAILROAD MEDICARE- INDIV
Kansas Other CI3618 RAILROAD MEDICARE- INDIV
Kansas Other 792000001 RAILROAD MEDICARE- INDIV
Kansas Other 3239466A RAILROAD MEDICARE- INDIV
Kansas MEDICAID 208691345 RAILROAD MEDICARE- INDIV

Popular Providers