Mallory, Harvey E

Mallory, Harvey E is an individual health care provider with primary practice located at 7000 Jefferson St Ne , Albuquerque NM 87109-4313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mallory, Harvey E can be contacted via phone (505) 344-9478.

Contact Information

Primary practice address
7000 Jefferson St Ne Albuquerque NM 87109-4313
Phone: (505) 344-9478
Fax: (505) 344-2783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD2006-0166 New Mexico
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD2006-0166 New Mexico

Profile Details

NPI number 1336254218
LBN Legal business name Mallory, Harvey E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 26th, 2014 - about 12 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 1336254218 NPPES
New Mexico Other 2006-0166 LICENSE NUMBER

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