Maloney, Jack Edward
Maloney, Jack Edward is an individual health care provider with primary practice located at 2323 S 102Nd St , West Allis WI 53227-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Maloney, Jack Edward can be contacted via phone (414) 541-9900.Contact Information
Primary practice address
2323 S 102Nd St
West Allis WI 53227-2103
Phone: (414) 541-9900
Fax: (414) 329-2238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 44691 | Wisconsin |
Profile Details
| NPI number | 1043272396 |
|---|---|
| LBN Legal business name | Maloney, Jack Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043272396 | NPPES |
| Wisconsin | MEDICAID | 1043272396 |
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