Mallon, William James

Mallon, William James is an individual health care provider with primary practice located at 120 William Penn Plz , Durham NC 27704-2150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mallon, William James can be contacted via phone (919) 220-5255.

Contact Information

Primary practice address
120 William Penn Plz Durham NC 27704-2150
Phone: (919) 220-5255
Fax: (919) 313-1276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 39019 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 39019 North Carolina

Profile Details

NPI number 1366437048
LBN Legal business name Mallon, William James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jun 21st, 2012 - about 12 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 1366437048 NPPES
North Carolina MEDICAID 8953295

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