Malm, Samantha
Malm, Samantha is an individual health care provider with primary practice located at 2500 Milvia St , Berkeley CA 94704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Malm, Samantha can be contacted via phone (510) 204-5600.Contact Information
Primary practice address
2500 Milvia St
Berkeley CA 94704
Phone: (510) 204-5600
Fax: (510) 204-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A89453 | California |
Profile Details
| NPI number | 1396724266 |
|---|---|
| LBN Legal business name | Malm, Samantha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Nov 20th, 2019 - about 5 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 | 1396724266 | NPPES |
| California | Other | A89453 | STATE MEDICAL LICENSE |
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