Maddock, Faith Elise

Maddock, Faith Elise is an sole proprietor health care provider with primary practice located at 3200 W Centre Ave Ste 203 , Portage MI 49024-4889. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maddock, Faith Elise can be contacted via phone (269) 324-0799.

Contact Information

Primary practice address
3200 W Centre Ave Ste 203 Portage MI 49024-4889
Phone: (269) 324-0799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704378304 Michigan

Profile Details

NPI number 1477218279
LBN Legal business name Maddock, Faith Elise
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2021
Last updated Nov 29th, 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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