Maddalena, Larry

Maddalena, Larry is an individual health care provider with primary practice located at 1732 Palma Dr Ste 104, Ventura CA 93003-5796. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Maddalena, Larry can be contacted via phone (805) 642-6565.

Contact Information

Primary practice address
1732 Palma Dr Ste 104 Ventura CA 93003-5796
Phone: (805) 642-6565
Fax: (805) 642-6524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC24826 California

Profile Details

NPI number 1225031511
LBN Legal business name Maddalena, Larry
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 7th, 2007 - about 19 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 1225031511 NPPES
California MEDICAID DC0248260

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