Malick, George Paul
Malick, George Paul is an sole proprietor health care provider with primary practice located at 38865 Dequindre Rd Suite 104, Troy MI 48083-6812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Malick, George Paul can be contacted via phone (248) 743-9330.Contact Information
Primary practice address
38865 Dequindre Rd Suite 104
Troy MI 48083-6812
Phone: (248) 743-9330
Fax: (248) 743-9332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301032495 | Michigan |
Profile Details
| NPI number | 1750480869 |
|---|---|
| LBN Legal business name | Malick, George Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Apr 2nd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750480869 | NPPES |
| Michigan | Other | 0745000062 | BCBS OF MI |
| Michigan | MEDICAID | 1068315 | BCBS OF MI |
| Michigan | Other | 0705022692 | BCBS OF MI |
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