Malitz, David I

Malitz, David I is an individual health care provider with primary practice located at 1001 Walnut St , Evansville IN 47713-1963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Malitz, David I can be contacted via phone (812) 421-2020.

Contact Information

Primary practice address
1001 Walnut St Evansville IN 47713-1963
Phone: (812) 421-2020
Fax: (812) 422-1189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 10979 Nevada
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01041297 Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30753 Kentucky

Profile Details

NPI number 1982671194
LBN Legal business name Malitz, David I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 1st, 2010 - about 16 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 1982671194 NPPES
Indiana MEDICAID 100242920A
Indiana MEDICAID 64878085
Indiana MEDICAID 100510131

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