Jared Mallalieu, Pa

LBN: Jared Mallalieu, Pa
Jared Mallalieu, Pa is an health care organization with primary practice located at 484 Ritchie Hwy Suite A, Severna Park MD 21146-2961. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jared Mallalieu, Pa can be contacted via phone (410) 544-4600, or through Mallalieu, Jared Emerson via phone (410) 544-4600.

Contact Information

Primary practice address
484 Ritchie Hwy Suite A Severna Park MD 21146-2961
Fax: (410) 544-0997
Website:
Authorized official contact:
Name: Mallalieu, Jared Emerson Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H68311 Maryland

Profile Details

NPI number 1053542985
LBN Legal business name Jared Mallalieu, Pa
DBA Doing business as
Authorized official Mallalieu, Jared Emerson Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2009
Last updated Aug 17th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053542985 NPPES
Maryland Other 242301 JHHC
Maryland Other 174406 JHHC
Maryland Other D92MJE JHHC
Maryland Other U993 JHHC

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