Dick, Malcolm B

Dick, Malcolm B is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dick, Malcolm B can be contacted via phone (714) 456-8068.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Fax: (714) 456-3765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X PSY14133 California

Profile Details

NPI number 1235182205
LBN Legal business name Dick, Malcolm B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235182205 NPPES
California Other PSY141330 MEDI-CAL PROVIDER #

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