Malmquist, Gregg A

Malmquist, Gregg A is an individual health care provider with primary practice located at 165 Natchez Trace Ave , Bowling Green KY 42103-7940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Malmquist, Gregg A can be contacted via phone (270) 782-7800.

Contact Information

Primary practice address
165 Natchez Trace Ave Bowling Green KY 42103-7940
Fax: (270) 843-0779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35342 Kentucky

Profile Details

NPI number 1881697969
LBN Legal business name Malmquist, Gregg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 9th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881697969 NPPES
Kentucky MEDICAID 64017866

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