Mallek, Mark Lasak

Mallek, Mark Lasak is an individual health care provider with primary practice located at 280 Main St Suite 340, Nashua NH 03060-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mallek, Mark Lasak can be contacted via phone (603) 881-8000.

Contact Information

Primary practice address
280 Main St Suite 340 Nashua NH 03060-2919
Fax: (603) 881-8001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6560 New Hampshire

Profile Details

NPI number 1609841832
LBN Legal business name Mallek, Mark Lasak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609841832 NPPES
New Hampshire MEDICAID 82110335
New Hampshire Other 0100335Y0NH01
New Hampshire Other NH0335
New Hampshire Other 82110335
New Hampshire Other 404414

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