Madison, David L

Madison, David L is an individual health care provider with primary practice located at 4880 Century Plaza Rd # 905, Indianapolis IN 46254-5469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Madison, David L can be contacted via phone (317) 279-6314.

Contact Information

Primary practice address
4880 Century Plaza Rd # 905 Indianapolis IN 46254-5469
Fax: (317) 947-2698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01031866A Indiana

Profile Details

NPI number 1851326011
LBN Legal business name Madison, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 4th, 2017 - about 9 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 1851326011 NPPES
Indiana MEDICAID 100326060A
Indiana Other 000000083157
Indiana Other 760000004

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