Malone, Michael D

Malone, Michael D is an individual health care provider with primary practice located at 3250 Gordonville Rd Ste 358 , Cape Girardeau MO 63703-5095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Malone, Michael D can be contacted via phone (573) 331-3155.

Contact Information

Primary practice address
3250 Gordonville Rd Ste 358 Cape Girardeau MO 63703-5095
Phone: (573) 331-3155
Fax: (573) 331-5096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35083959 Ohio

Profile Details

NPI number 1982650719
LBN Legal business name Malone, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 1st, 2021 - about 3 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 1982650719 NPPES
Ohio Other 000000329488 ANTHEM BC/BS
Ohio Other 383693735027 ANTHEM BC/BS
Ohio Other 5539685 ANTHEM BC/BS
Ohio Other P00102611 ANTHEM BC/BS
Ohio MEDICAID 2455589 ANTHEM BC/BS

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