Mallard, Stephen Donald

Mallard, Stephen Donald is an individual health care provider with primary practice located at 1400 6Th Ave S , Birmingham AL 35233-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mallard, Stephen Donald can be contacted via phone (205) 930-1501.

Contact Information

Primary practice address
1400 6Th Ave S Birmingham AL 35233-1502
Phone: (205) 930-1501
Fax: (205) 930-0243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00019373 Alabama

Profile Details

NPI number 1386616530
LBN Legal business name Mallard, Stephen Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 18th, 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 1386616530 NPPES
Alabama MEDICAID 303700331
Alabama MEDICAID 303720331
Alabama MEDICAID 303790331
Alabama Other 051032090
Alabama Other 051032095
Alabama Other 051513704
Alabama Other 051516185
Alabama Other 051528591
Alabama MEDICAID 303760331
Alabama Other 051513705
Alabama MEDICAID 303740331
Alabama MEDICAID 303730331
Alabama Other 051520380
Alabama MEDICAID 303710331

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