John Michael Maddock in Seaside - Clinical
John Michael Maddock - NPI 1053351072
John Michael Maddock is a Clinical in Seaside, California. John Michael Maddock practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Michael Maddock is 1053351072. The last update date is 2007-07-08.
John Michael Maddock's current location address is 3401 Engineer Ln, Seaside, California. You can contact this provider via phone number 8318833805 and fax number 8318833860. The mailing address for John Michael Maddock is 3401 Engineer Ln, Seaside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Maddock |
|---|---|
| Address | 3401 Engineer Ln, Seaside, California |
| Phone Number | 8318833805 |
| Fax Number | 8318833860 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053351072 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3401 Engineer Ln |
|---|---|
| City | Seaside |
| State | California (CA) |
| Post Code | 939557200 |
| Phone Number | 8318833805 |
| Fax Number | 8318833860 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 17055 |
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What is the unique 10-digit identifier code assigned to John Michael Maddock by the Centers for Medicare & Medicaid Services?
The John Michael Maddock has been issued the NPI (National Provider Identifier) 1053351072 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Michael Maddock's facilities are situated?
The facilities of John Michael Maddock are physically located at the following address: 3401 Engineer Ln, Seaside, CA, 939557200.
What is John Michael Maddock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Michael Maddock is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1053351072 assigned to John Michael Maddock?
The John Michael Maddock was issued its 1053351072 on 2006-06-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Michael Maddock last refreshed?
The information related to the John Michael Maddock, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1063415297
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