ERON LEE MADDOX NPI 1194312983

NPI Information

NPI: 1194312983
Provider Name: ERON LEE MADDOX
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1061 A ST
HAYWARD, CA
ZIP 94541
Phone: (510) 942-5653
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Eron Lee Maddox is a specialist in Hayward, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Eron Lee Maddox NPI is 1194312983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1061 A ST
HAYWARD, CA
ZIP 94541-105
Phone: (510) 942-5653

The enumeration date for this NPI number is 12/28/2020 and was last updated on 2/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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