Mallory, Norman Robert

Mallory, Norman Robert is an individual health care provider with primary practice located at 360 Broadway Ste 100 , Bangor ME 04401-3979. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mallory, Norman Robert can be contacted via phone (207) 907-3550.

Contact Information

Primary practice address
360 Broadway Ste 100 Bangor ME 04401-3979
Phone: (207) 907-3550
Fax: (207) 907-3562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-692 Maine

Profile Details

NPI number 1710086608
LBN Legal business name Mallory, Norman Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 3rd, 2022 - about 3 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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