Malloy, Mark J.
Malloy, Mark J. is an individual health care provider with primary practice located at 6929 Jfk Blvd Ste 108 , North Little Rock AR 72116-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Malloy, Mark J. can be contacted via phone (501) 235-8295.Contact Information
Primary practice address
6929 Jfk Blvd Ste 108
North Little Rock AR 72116-5312
Phone: (501) 235-8295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C5547 | Arkansas |
Profile Details
| NPI number | 1811921455 |
|---|---|
| LBN Legal business name | Malloy, Mark J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811921455 | NPPES |
| Arkansas | MEDICAID | 100927001 |
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