Mallari, Clinton
Mallari, Clinton is an sole proprietor health care provider with primary practice located at 115 W Main St Suite 102, Boise ID 83702-7302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mallari, Clinton can be contacted via phone (208) 342-4700.Contact Information
Primary practice address
115 W Main St Suite 102
Boise ID 83702-7302
Phone: (208) 342-4700
Fax: (208) 342-4710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | M6287 | Idaho |
Profile Details
| NPI number | 1154345585 |
|---|---|
| LBN Legal business name | Mallari, Clinton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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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