Mallers, Douglas J.
Mallers, Douglas J. is an individual health care provider with primary practice located at 9602 Coldwater Rd Suite 102, Fort Wayne IN 46825-2095. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mallers, Douglas J. can be contacted via phone (260) 489-9887.Contact Information
Primary practice address
9602 Coldwater Rd Suite 102
Fort Wayne IN 46825-2095
Phone: (260) 489-9887
Fax: (260) 489-9121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05003202 | Indiana |
Profile Details
| NPI number | 1952393068 |
|---|---|
| LBN Legal business name | Mallers, Douglas J. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Nov 8th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952393068 | NPPES |
| Indiana | MEDICAID | 200374590A |
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