Mallari, Paul

Mallari, Paul is an individual health care provider with primary practice located at 1526 Atwood Ave Ste 220 , Johnston RI 02919-3289. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mallari, Paul can be contacted via phone (401) 396-2227.

Contact Information

Primary practice address
1526 Atwood Ave Ste 220 Johnston RI 02919-3289
Phone: (401) 396-2227
Fax: (401) 421-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00270 Rhode Island

Profile Details

NPI number 1801889787
LBN Legal business name Mallari, Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 9th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801889787 NPPES
Rhode Island Other 409374 BLUE CHIP
Rhode Island Other 0000030808 BLUE CHIP
Rhode Island MEDICAID PM54778 BLUE CHIP

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