Malloy, Jennifer Rebecca

Malloy, Jennifer Rebecca is an sole proprietor health care provider with primary practice located at 2255 S Bascom Ave Suite 200, Campbell CA 95008-7800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Malloy, Jennifer Rebecca can be contacted via phone (408) 376-3626.

Contact Information

Primary practice address
2255 S Bascom Ave Suite 200 Campbell CA 95008-7800
Phone: (408) 376-3626
Fax: (408) 871-2377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA17849 California

Profile Details

NPI number 1114008554
LBN Legal business name Malloy, Jennifer Rebecca
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Feb 26th, 2010 - about 16 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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