Vandelden, Mahlon

Vandelden, Mahlon is an individual health care provider with primary practice located at 1000 W Nifong Blvd Building 3, Suite 100, Columbia MO 65203-5615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Vandelden, Mahlon can be contacted via phone (573) 214-2000.

Contact Information

Primary practice address
1000 W Nifong Blvd Building 3, Suite 100 Columbia MO 65203-5615
Phone: (573) 214-2000
Fax: (573) 214-2042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01048581A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 34110 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 101110 Missouri

Profile Details

NPI number 1225027907
LBN Legal business name Vandelden, Mahlon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 17th, 2011 - about 13 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 1225027907 NPPES
Indiana Other 065102 HEALTH ALLIANCE
Indiana Other P00153580 HEALTH ALLIANCE
Indiana Other 000000045661 HEALTH ALLIANCE
Indiana Other 000000045661 HEALTH ALLIANCE
Indiana Other 040013796 HEALTH ALLIANCE
Indiana MEDICAID 64341019 HEALTH ALLIANCE
Indiana Other 382908 HEALTH ALLIANCE
Indiana MEDICAID 200181080A HEALTH ALLIANCE

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