Mallen, Matthew James

Mallen, Matthew James is an sole proprietor health care provider with primary practice located at 1214 Bennington St , East Boston MA 02128-1203. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mallen, Matthew James can be contacted via phone (617) 569-6607.

Contact Information

Primary practice address
1214 Bennington St East Boston MA 02128-1203
Phone: (617) 569-6607
Fax: (617) 569-8302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 681 Massachusetts

Profile Details

NPI number 1942498852
LBN Legal business name Mallen, Matthew James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2007
Last updated Jul 9th, 2008 - about 17 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 1942498852 NPPES
Massachusetts Other 351011 HARVARDPILGRIM HEALTHCARE
Massachusetts Other 7909287001 HARVARDPILGRIM HEALTHCARE
Massachusetts Other Y35466 HARVARDPILGRIM HEALTHCARE
Massachusetts Other 714763 HARVARDPILGRIM HEALTHCARE
Massachusetts Other 076391 HARVARDPILGRIM HEALTHCARE
Massachusetts MEDICAID 1601776 HARVARDPILGRIM HEALTHCARE

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