Individual
MADALYN DOUBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2325 18TH ST STE 220, COLUMBUS, IN 47201-5389
(812) 376-5640
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02006215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000501974
—
IN
05
—
7100747100
—
KY
Enumeration date
06/07/2016
Last updated
07/31/2025
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