Maloof, Alberta Jane

Maloof, Alberta Jane is an individual health care provider with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Maloof, Alberta Jane can be contacted via phone (304) 766-3600.

Contact Information

Primary practice address
4605 Maccorkle Ave Sw South Charleston WV 25309-1311
Phone: (304) 766-3600
Fax: (304) 343-4626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19043 West Virginia

Profile Details

NPI number 1720080906
LBN Legal business name Maloof, Alberta Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jun 10th, 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 1720080906 NPPES
Ohio MEDICAID 0440737
Ohio Other 001718795
Ohio MEDICAID 0122650000

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