Malotky, Mary B

Malotky, Mary B is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Malotky, Mary B can be contacted via phone (612) 873-2203.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-2203
Fax: (612) 904-4273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 7798 Minnesota

Profile Details

NPI number 1225094949
LBN Legal business name Malotky, Mary B
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Nov 28th, 2007 - about 17 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 1225094949 NPPES
Minnesota Other 46G39MA BLUE CROSS BLUE SHIELD
Minnesota Other 164363 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 030528600 BLUE CROSS BLUE SHIELD
Minnesota Other 07-00273 BLUE CROSS BLUE SHIELD

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