Maddox, James Alan
Maddox, James Alan is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maddox, James Alan can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-2099
Phone: (541) 267-5151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00034602 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD198698 | Oregon |
Profile Details
| NPI number | 1932216751 |
|---|---|
| LBN Legal business name | Maddox, James Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Sep 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932216751 | NPPES |
| Oregon | MEDICAID | 500781314 |
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