Malters, Joseph M

Malters, Joseph M is an individual health care provider with primary practice located at 10101 Stoltz Dr , Rolla MO 65401-7714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Malters, Joseph M can be contacted via phone (573) 364-0122.

Contact Information

Primary practice address
10101 Stoltz Dr Rolla MO 65401-7714
Phone: (573) 364-0122
Fax: (573) 364-0129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2001027199 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MO2001027199 Missouri

Profile Details

NPI number 1689760233
LBN Legal business name Malters, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 1st, 2020 - about 4 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 1689760233 NPPES
Missouri Other 152311 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 205419906 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 506121300 BLUE CROSS BLUE SHIELD
Missouri Other 0300281 BLUE CROSS BLUE SHIELD
Missouri Other 138107 BLUE CROSS BLUE SHIELD

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