Patchel, Malcolm A.

Patchel, Malcolm A. is an individual health care provider with primary practice located at 550 Redstone Avenue Suite 200, Crestview FL 32536-6429. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Patchel, Malcolm A. can be contacted via phone (850) 682-6122.

Contact Information

Primary practice address
550 Redstone Avenue Suite 200 Crestview FL 32536-6429
Phone: (850) 682-6122
Fax: (850) 682-5917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101199 Florida

Profile Details

NPI number 1629046792
LBN Legal business name Patchel, Malcolm A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 30th, 2010 - about 14 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 1629046792 NPPES
Florida MEDICAID 291925700

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