Malcomb, Jason Isaac

Malcomb, Jason Isaac is an individual health care provider with primary practice located at 5447 Maple Ln , Fayetteville WV 25840-6872. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Malcomb, Jason Isaac can be contacted via phone (304) 574-1141.

Contact Information

Primary practice address
5447 Maple Ln Fayetteville WV 25840-6872
Phone: (304) 574-1141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1275225047
LBN Legal business name Malcomb, Jason Isaac
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2023
Last updated May 22nd, 2023 - about 2 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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