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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720080906 | NPPES |
| Ohio | MEDICAID | 0440737 | |
| Ohio | Other | 001718795 | |
| Ohio | MEDICAID | 0122650000 |
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