Mallico, Eric John

Mallico, Eric John is an individual health care provider with primary practice located at 1910 Jake Alexander Blvd W Ste 201 , Salisbury NC 28147-1165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mallico, Eric John can be contacted via phone (704) 638-8631.

Contact Information

Primary practice address
1910 Jake Alexander Blvd W Ste 201 Salisbury NC 28147-1165
Phone: (704) 638-8631
Fax: (704) 638-8639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2008-01430 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 116331 North Carolina

Profile Details

NPI number 1790813863
LBN Legal business name Mallico, Eric John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Nov 28th, 2022 - about 2 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 1790813863 NPPES
North Carolina MEDICAID 5910179
North Carolina Other 1511E

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