Maddox, Nicole Renee

Maddox, Nicole Renee is an sole proprietor health care provider with primary practice located at 15256 N 75Th Ave Ste 360 , Peoria AZ 85381-4761. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Maddox, Nicole Renee can be contacted via phone (623) 486-2424.

Contact Information

Primary practice address
15256 N 75Th Ave Ste 360 Peoria AZ 85381-4761
Phone: (623) 486-2424
Fax: (623) 486-4324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7855 Colorado
Chiropractic Providers / Chiropractor 111N00000X 2017015756 Missouri
Chiropractic Providers / Chiropractor 111N00000X 8942 Arizona

Profile Details

NPI number 1013431253
LBN Legal business name Maddox, Nicole Renee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2017
Last updated Jul 29th, 2020 - about 6 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 1013431253 NPPES
Missouri Other 2017015756 MISSOURI STATE BOARD OF CHIROPRACTIC EXAMINERS

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