Madden, Colleen M

Madden, Colleen M is an individual health care provider with primary practice located at 2598 W White River Blvd , Muncie IN 47303-5251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Madden, Colleen M can be contacted via phone (765) 741-1882.

Contact Information

Primary practice address
2598 W White River Blvd Muncie IN 47303-5251
Phone: (765) 741-1882
Fax: (765) 282-7356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01038670A Indiana

Profile Details

NPI number 1841345055
LBN Legal business name Madden, Colleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 22nd, 2021 - about 5 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 1841345055 NPPES
Indiana Other P00764119 RAILROAD MEDICARE
Indiana MEDICAID 100465400 RAILROAD MEDICARE

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