Maldonado, Juan A.

Maldonado, Juan A. is an sole proprietor health care provider with primary practice located at 424 Se 11Th St , Anadarko OK 73005-4442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maldonado, Juan A. can be contacted via phone (405) 247-7346.

Contact Information

Primary practice address
424 Se 11Th St Anadarko OK 73005-4442
Phone: (405) 247-7346
Fax: (405) 247-7565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18749 Oklahoma

Profile Details

NPI number 1154362416
LBN Legal business name Maldonado, Juan A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jun 27th, 2016 - about 8 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 1154362416 NPPES
Oklahoma MEDICAID 100220300A

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