Malcom, Christopher James

Malcom, Christopher James is an individual health care provider with primary practice located at 4519 Enterprise Way , Caldwell ID 83605-8055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Malcom, Christopher James can be contacted via phone (208) 455-7482.

Contact Information

Primary practice address
4519 Enterprise Way Caldwell ID 83605-8055
Phone: (208) 455-7482
Fax: (208) 455-7538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X O-0744 Idaho
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X O-0744 Idaho

Profile Details

NPI number 1447402425
LBN Legal business name Malcom, Christopher James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Jul 10th, 2014 - about 10 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 1447402425 NPPES
Arizona MEDICAID 817783

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