Mallov, Joseph S
Mallov, Joseph S is an individual health care provider with primary practice located at 10101 Se Main St Suite 1001, Portland OR 97216-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mallov, Joseph S can be contacted via phone (503) 255-3404.Contact Information
Primary practice address
10101 Se Main St Suite 1001
Portland OR 97216-2455
Phone: (503) 255-3404
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 33955 | Tennessee |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD150628 | Oregon |
Profile Details
NPI number | 1558336958 |
---|---|
LBN Legal business name | Mallov, Joseph S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2006 |
Last updated | Jan 7th, 2013 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558336958 | NPPES |
Other | 460002986 | MEDICARE RAILROAD |
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