Malamisura, Michael A.
Malamisura, Michael A. is an sole proprietor health care provider with primary practice located at 510 Cherry Street , Bluefield WV 24701-9999. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Malamisura, Michael A. can be contacted via phone (304) 325-3666.Contact Information
Primary practice address
510 Cherry Street
Bluefield WV 24701-9999
Phone: (304) 325-3666
Fax: (304) 327-2497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11940 | West Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 11940 | West Virginia |
Profile Details
| NPI number | 1134161029 |
|---|---|
| LBN Legal business name | Malamisura, Michael A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1134161029 | NPPES |
| Other | 9383331 | MEDICARE PTAN |
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