Maloff, Stephen M

Maloff, Stephen M is an sole proprietor health care provider with primary practice located at 2240 E Center St , Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Maloff, Stephen M can be contacted via phone (208) 233-8344.

Contact Information

Primary practice address
2240 E Center St Pocatello ID 83201
Phone: (208) 233-8344
Fax: (208) 233-6983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X M3508 Idaho

Profile Details

NPI number 1316059280
LBN Legal business name Maloff, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316059280 NPPES
Idaho Other 76814 BLUE CROSS OF ID
Idaho Other 000010024275 BLUE CROSS OF ID
Idaho Other 242157007 BLUE CROSS OF ID
Idaho MEDICAID 003833100 BLUE CROSS OF ID

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