Mall, Albert K

Mall, Albert K is an individual health care provider with primary practice located at 1111 Franklin St Suite 230, Johnstown PA 15905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mall, Albert K can be contacted via phone (814) 262-7980.

Contact Information

Primary practice address
1111 Franklin St Suite 230 Johnstown PA 15905
Fax: (814) 262-7983
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD023412E Pennsylvania

Profile Details

NPI number 1346230927
LBN Legal business name Mall, Albert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 11th, 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 1346230927 NPPES
Other P00940198 RAILROAD MEDICARE
MEDICAID 0009992360011 RAILROAD MEDICARE
Other 442753 RAILROAD MEDICARE

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