Provider Demographics
NPI:1700563582
Name:BADGETT, MAJORS JOHN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MAJORS
Middle Name:JOHN
Last Name:BADGETT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-1803
Mailing Address - Country:US
Mailing Address - Phone:859-993-9030
Mailing Address - Fax:
Practice Address - Street 1:29 E 6TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-1803
Practice Address - Country:US
Practice Address - Phone:859-993-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
BADGM1OtherNRCC