Malsom, Eloy P

Malsom, Eloy P is an individual health care provider with primary practice located at 701 8Th Ave Nw , Aberdeen SD 57401-1803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Malsom, Eloy P can be contacted via phone (605) 225-3300.

Contact Information

Primary practice address
701 8Th Ave Nw Aberdeen SD 57401-1803
Phone: (605) 225-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CR000259 South Dakota

Profile Details

NPI number 1073538609
LBN Legal business name Malsom, Eloy P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 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 1073538609 NPPES
South Dakota MEDICAID 5751502

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