Mallamo, Paul

Mallamo, Paul is an sole proprietor health care provider with primary practice located at 52526 Ford Ln , Chesterfield MI 48047-3514. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Mallamo, Paul can be contacted via phone (586) 598-0455.

Contact Information

Primary practice address
52526 Ford Ln Chesterfield MI 48047-3514
Phone: (586) 598-0455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901001813 Michigan

Profile Details

NPI number 1548385156
LBN Legal business name Mallamo, Paul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 28th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548385156 NPPES
Michigan MEDICAID 4253362
Michigan Other 480030776

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