Malin, Thomas M

Malin, Thomas M is an individual health care provider with primary practice located at 291 E 4500 S Ste C , Salt Lake City UT 84107-3886. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Malin, Thomas M can be contacted via phone (801) 264-1235.

Contact Information

Primary practice address
291 E 4500 S Ste C Salt Lake City UT 84107-3886
Phone: (801) 264-1235
Fax: (801) 264-1805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1736901202 Utah

Profile Details

NPI number 1760430359
LBN Legal business name Malin, Thomas M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 28th, 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 1760430359 NPPES
Utah Other U000005800 MEDICARE PTAN
Utah MEDICAID M8258 MEDICARE PTAN

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