Malloy, Timothy R

Malloy, Timothy R is an individual health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Malloy, Timothy R can be contacted via phone (402) 559-7200.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Phone: (402) 559-7200
Fax: (402) 559-9344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 17506 Nebraska

Profile Details

NPI number 1902855919
LBN Legal business name Malloy, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jun 22nd, 2011 - about 15 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 1902855919 NPPES
Nebraska Other 17506 NE LICENSE

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