Malkasian, Lucy B
Malkasian, Lucy B is an individual health care provider with primary practice located at 275 11Th St S , Wahpeton ND 58075-4655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Malkasian, Lucy B can be contacted via phone (701) 642-2000.Contact Information
Primary practice address
275 11Th St S
Wahpeton ND 58075-4655
Phone: (701) 642-2000
Fax: (701) 671-4106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4761 | North Dakota |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27260 | Minnesota |
Profile Details
NPI number | 1215972773 |
---|---|
LBN Legal business name | Malkasian, Lucy B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Sep 20th, 2011 - about 14 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 | 1215972773 | NPPES |
North Dakota | Other | 142036 | UCARE # |
North Dakota | MEDICAID | 7775590 | UCARE # |
North Dakota | Other | DA9051015636 | UCARE # |
North Dakota | Other | HP19525 | UCARE # |
North Dakota | Other | 30657 | UCARE # |
North Dakota | MEDICAID | 103062100 | UCARE # |
North Dakota | Other | 2495 | UCARE # |
North Dakota | Other | 2724 | UCARE # |
North Dakota | Other | ND100017 | UCARE # |
North Dakota | Other | 1201182 | UCARE # |
North Dakota | MEDICAID | 14103 | UCARE # |
North Dakota | Other | 676668 | UCARE # |
North Dakota | Other | 93114MA | UCARE # |
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