Madren, Eric M

Madren, Eric M is an individual health care provider with primary practice located at 1925 Glenn Mitchell Dr Ste 100, Virginia Beach VA 23456-0170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Madren, Eric M can be contacted via phone (757) 689-8430.

Contact Information

Primary practice address
1925 Glenn Mitchell Dr Ste 100 Virginia Beach VA 23456-0170
Phone: (757) 689-8430
Fax: (757) 689-8435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101053640 Virginia

Profile Details

NPI number 1760457089
LBN Legal business name Madren, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 12th, 2010 - about 16 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 1760457089 NPPES
Virginia MEDICAID 005620821

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