Mallalieu, Jared Emerson

Mallalieu, Jared Emerson is an individual health care provider with primary practice located at 484 Ritchie Hwy Ste A , Severna Park MD 21146-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mallalieu, Jared Emerson can be contacted via phone (410) 544-4600.

Contact Information

Primary practice address
484 Ritchie Hwy Ste A Severna Park MD 21146-2961
Phone: (410) 544-4600
Fax: (410) 544-0997
Website:
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Health care specialties

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

Profile Details

NPI number 1033393996
LBN Legal business name Mallalieu, Jared Emerson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Jun 25th, 2015 - about 11 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 1033393996 NPPES
Maryland Other 95050303 CAREFIRST
Maryland Other 417363500 CAREFIRST
Maryland Other 1622382ZF69 CAREFIRST
Maryland Other 242301 CAREFIRST
Maryland Other U993 0001 CAREFIRST

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