Malec, William Andrew

Malec, William Andrew is an individual health care provider with primary practice located at 201 E Lafayette St , Jackson TN 38301-6250. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Malec, William Andrew can be contacted via phone (731) 422-3811.

Contact Information

Primary practice address
201 E Lafayette St Jackson TN 38301-6250
Phone: (731) 422-3811
Fax: (731) 422-5681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT1173 Tennessee

Profile Details

NPI number 1972592152
LBN Legal business name Malec, William Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Sep 11th, 2019 - about 5 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 1972592152 NPPES
Tennessee MEDICAID 3598725

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