Malisos, Rodney James

Malisos, Rodney James is an individual health care provider with primary practice located at 1504 Ne 96Th St , Liberty MO 64068-1348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Malisos, Rodney James can be contacted via phone (816) 415-2233.

Contact Information

Primary practice address
1504 Ne 96Th St Liberty MO 64068-1348
Phone: (816) 415-2233
Fax: (816) 415-2218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000146367 Missouri

Profile Details

NPI number 1497753545
LBN Legal business name Malisos, Rodney James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 25th, 2011 - about 15 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 1497753545 NPPES
Missouri MEDICAID 205388101
Missouri Other 30006033
Missouri Other 33106180464024A002

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