Malaker, Clayton R.

Malaker, Clayton R. is an individual health care provider with primary practice located at 824 Van Buren St , Belvidere IL 61008-2252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Malaker, Clayton R. can be contacted via phone (815) 544-3481.

Contact Information

Primary practice address
824 Van Buren St Belvidere IL 61008-2252
Phone: (815) 544-3481
Fax: (815) 544-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036075458 Illinois

Profile Details

NPI number 1144221961
LBN Legal business name Malaker, Clayton R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 16th, 2010 - about 14 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 1144221961 NPPES
Illinois MEDICAID 036075458

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