Malloney, Stephen James

Malloney, Stephen James is an individual health care provider with primary practice located at 134 Medical Park Rd Ste 100 , Mooresville NC 28117-8527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Malloney, Stephen James can be contacted via phone (704) 662-0106.

Contact Information

Primary practice address
134 Medical Park Rd Ste 100 Mooresville NC 28117-8527
Phone: (704) 662-0106
Fax: (808) 290-6369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 990 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2015-01843 North Carolina

Profile Details

NPI number 1083783245
LBN Legal business name Malloney, Stephen James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 15th, 2023 - about last year

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 1083783245 NPPES
South Carolina MEDICAID GP4505

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