Mallinak, Raymond Frank
Mallinak, Raymond Frank is an sole proprietor health care provider with primary practice located at 604 E Church St , Martinsville VA 24112-3008. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mallinak, Raymond Frank can be contacted via phone (276) 632-2189.Contact Information
Primary practice address
604 E Church St
Martinsville VA 24112-3008
Phone: (276) 632-2189
Fax: (276) 638-2306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401005236 | Virginia |
Profile Details
| NPI number | 1245398114 |
|---|---|
| LBN Legal business name | Mallinak, Raymond Frank |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1245398114 | NPPES |
| Virginia | MEDICAID | 9178603 |
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