Madlock, Eboni

Madlock, Eboni is an individual health care provider with primary practice located at 1081 Autumn St , Jackson MS 39212-2555. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Madlock, Eboni can be contacted via phone (601) 874-5741.

Contact Information

Primary practice address
1081 Autumn St Jackson MS 39212-2555
Phone: (601) 874-5741
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 117075 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3294 Mississippi

Profile Details

NPI number 1568848166
LBN Legal business name Madlock, Eboni
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2015
Last updated Jun 21st, 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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