Mallender, Charles

Mallender, Charles is an individual health care provider with primary practice located at 5169 S Cottonwood St , Murray UT 84107-6767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mallender, Charles can be contacted via phone (801) 507-3513.

Contact Information

Primary practice address
5169 S Cottonwood St Murray UT 84107-6767
Phone: (801) 507-3513
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 180838-1205 Utah

Profile Details

NPI number 1942261037
LBN Legal business name Mallender, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 18th, 2015 - about 9 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 1942261037 NPPES
Utah MEDICAID D0022
Utah Other P00214602

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