Bacchus, Malcolm D.
Bacchus, Malcolm D. is an sole proprietor health care provider with primary practice located at 6630 S Mccarran Blvd Suite 8, Reno NV 89509-6135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bacchus, Malcolm D. can be contacted via phone (775) 824-8100.Contact Information
Primary practice address
6630 S Mccarran Blvd Suite 8
Reno NV 89509-6135
Phone: (775) 824-8100
Fax: (775) 824-8112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 3442 | Nevada |
Profile Details
| NPI number | 1861547416 |
|---|---|
| LBN Legal business name | Bacchus, Malcolm D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Aug 13th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861547416 | NPPES |
| Nevada | MEDICAID | 002016041 |
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