Mallen, John Kenneth

Mallen, John Kenneth is an sole proprietor health care provider with primary practice located at 32 Stiles Rd Ste 204, Salem NH 03079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mallen, John Kenneth can be contacted via phone (603) 894-9898.

Contact Information

Primary practice address
32 Stiles Rd Ste 204 Salem NH 03079
Phone: (603) 894-9898
Fax: (603) 894-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 10052 New Hampshire
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 154434 Massachusetts

Profile Details

NPI number 1427037951
LBN Legal business name Mallen, John Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Sep 4th, 2012 - about 13 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 1427037951 NPPES
New Hampshire Other 0103459Y0NH01 BC
New Hampshire Other 21296 BC
New Hampshire Other 29841 BC
New Hampshire Other 07571390 BC
New Hampshire Other 154434 BC
New Hampshire Other JIF258 BC

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