Novack, Mallory E

Novack, Mallory E is an individual health care provider with primary practice located at 400 N Pepper Ave # 206 , Colton CA 92324-1801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Novack, Mallory E can be contacted via phone (909) 580-2270.

Contact Information

Primary practice address
400 N Pepper Ave # 206 Colton CA 92324-1801
Phone: (909) 580-2270
Fax: (909) 580-3289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 49924 Montana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20A13191 California

Profile Details

NPI number 1427324185
LBN Legal business name Novack, Mallory E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Feb 19th, 2024 - about 9 months 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 1427324185 NPPES
Montana Other 1427324185 NPI
Montana MEDICAID 1427324185 NPI

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