Maddox, Ricky
Maddox, Ricky is an individual health care provider with primary practice located at 2745 Lincoln Way , Clinton IA 52732-7201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maddox, Ricky can be contacted via phone (563) 242-3208.Contact Information
Primary practice address
2745 Lincoln Way
Clinton IA 52732-7201
Phone: (563) 242-3208
Fax: (563) 242-4051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30595 | Iowa |
Profile Details
| NPI number | 1982675542 |
|---|---|
| LBN Legal business name | Maddox, Ricky |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Oct 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982675542 | NPPES |
| Iowa | MEDICAID | 3125526 |
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