Mallory, John A

Mallory, John A is an individual health care provider with primary practice located at 10601 Quivira Rd Suite 200, Overland Park KS 66215-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mallory, John A can be contacted via phone (913) 541-3340.

Contact Information

Primary practice address
10601 Quivira Rd Suite 200 Overland Park KS 66215-2310
Phone: (913) 541-3340
Fax: (913) 492-7857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-16146 Kansas

Profile Details

NPI number 1215921929
LBN Legal business name Mallory, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 5th, 2009 - about 17 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 1215921929 NPPES
Missouri MEDICAID 1215921929
Missouri MEDICAID 100093790C
Missouri Other 04-16146
Missouri Other 33495

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