Malo, Brett Jonathan
Malo, Brett Jonathan is an individual health care provider with primary practice located at 3021 Voyager Dr , Green Bay WI 54311-8303. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Malo, Brett Jonathan can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
3021 Voyager Dr
Green Bay WI 54311-8303
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 60831-20 | Wisconsin |
Profile Details
NPI number | 1578706255 |
---|---|
LBN Legal business name | Malo, Brett Jonathan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2009 |
Last updated | Jul 8th, 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.
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