Malavolti, James Joseph
Malavolti, James Joseph is an sole proprietor health care provider with primary practice located at 7918 N Hale Ave , Peoria IL 61615-2048. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Malavolti, James Joseph can be contacted via phone (309) 693-7887.Contact Information
Primary practice address
7918 N Hale Ave
Peoria IL 61615-2048
Phone: (309) 693-7887
Fax: (309) 693-3898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038006725 | Illinois |
Profile Details
| NPI number | 1457336117 |
|---|---|
| LBN Legal business name | Malavolti, James Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jan 15th, 2010 - about 15 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 | 1457336117 | NPPES |
| Illinois | MEDICAID | 038006725 |
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