Malavolta, Jason A.

Malavolta, Jason A. is an individual health care provider with primary practice located at 900 West Baltimore Pike Suite 103, West Grove PA 19390. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Malavolta, Jason A. can be contacted via phone (610) 869-2200.

Contact Information

Primary practice address
900 West Baltimore Pike Suite 103 West Grove PA 19390
Phone: (610) 869-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT019017 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J10002349 Delaware

Profile Details

NPI number 1457530537
LBN Legal business name Malavolta, Jason A.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2007
Last updated Feb 6th, 2012 - about 12 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 1457530537 NPPES
Other 94266301 CARE FIRST OF MD
Other 1457530537 CARE FIRST OF MD
Other 5070-0104 CARE FIRST OF MD
Other 1457530537 CARE FIRST OF MD
Other 2045293 CARE FIRST OF MD

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