Mallace, Alan H

Mallace, Alan H is an individual health care provider with primary practice located at 18444 N 25Th Ave Ste 310, Phoenix AZ 85023-1266. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Mallace, Alan H can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
18444 N 25Th Ave Ste 310 Phoenix AZ 85023-1266
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9569 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9569 Arizona
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 09569 Arizona

Profile Details

NPI number 1659341667
LBN Legal business name Mallace, Alan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 6th, 2014 - about 11 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 1659341667 NPPES
Arizona MEDICAID 246042

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