Mallick, Annemarie

Mallick, Annemarie is an sole proprietor health care provider with primary practice located at 1411 E 31St St Dept. Of Medicine, Highland Hospital, Oakland CA 94602-1018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mallick, Annemarie can be contacted via phone (510) 437-4403.

Contact Information

Primary practice address
1411 E 31St St Dept. Of Medicine, Highland Hospital Oakland CA 94602-1018
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A7201 California

Profile Details

NPI number 1588633507
LBN Legal business name Mallick, Annemarie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 7th, 2013 - about 11 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 1588633507 NPPES
California MEDICAID AX72010

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