Mallory, Harvey E
Mallory, Harvey E is an individual health care provider with primary practice located at 7000 Jefferson St Ne , Albuquerque NM 87109-4313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mallory, Harvey E can be contacted via phone (505) 344-9478.Contact Information
Primary practice address
7000 Jefferson St Ne
Albuquerque NM 87109-4313
Phone: (505) 344-9478
Fax: (505) 344-2783
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD2006-0166 | New Mexico |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD2006-0166 | New Mexico |
Profile Details
NPI number | 1336254218 |
---|---|
LBN Legal business name | Mallory, Harvey E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Jul 26th, 2014 - about 10 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 | 1336254218 | NPPES |
New Mexico | Other | 2006-0166 | LICENSE NUMBER |
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