Maloney, Genevieve M

Maloney, Genevieve M is an individual health care provider with primary practice located at 2864 Ashmun St , Sault Sainte Marie MI 49783-3740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maloney, Genevieve M can be contacted via phone (906) 632-5200.

Contact Information

Primary practice address
2864 Ashmun St Sault Sainte Marie MI 49783-3740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01050953 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301079452 Michigan

Profile Details

NPI number 1679518997
LBN Legal business name Maloney, Genevieve M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 21st, 2011 - about 14 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 1679518997 NPPES
Indiana Other 000000383666 BLUE CROSS
Indiana Other 000000580323 BLUE CROSS
Indiana MEDICAID 200183770 BLUE CROSS

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