Mallalieu, Jared Emerson
Mallalieu, Jared Emerson is an individual health care provider with primary practice located at 484 Ritchie Hwy Ste A , Severna Park MD 21146-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mallalieu, Jared Emerson can be contacted via phone (410) 544-4600.Contact Information
Primary practice address
484 Ritchie Hwy Ste A
Severna Park MD 21146-2961
Phone: (410) 544-4600
Fax: (410) 544-0997
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | H68311 | Maryland |
Profile Details
NPI number | 1033393996 |
---|---|
LBN Legal business name | Mallalieu, Jared Emerson |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2007 |
Last updated | Jun 25th, 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 | 1033393996 | NPPES |
Maryland | Other | 95050303 | CAREFIRST |
Maryland | Other | 417363500 | CAREFIRST |
Maryland | Other | 1622382ZF69 | CAREFIRST |
Maryland | Other | 242301 | CAREFIRST |
Maryland | Other | U993 0001 | CAREFIRST |
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