Malone, Jennie O'Lera

Malone, Jennie O'Lera is an individual health care provider with primary practice located at 3458 Neely Rd , Joint Base Mdl NJ 08641-5312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Malone, Jennie O'Lera can be contacted via phone (888) 363-2273.

Contact Information

Primary practice address
3458 Neely Rd Joint Base Mdl NJ 08641-5312
Phone: (888) 363-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 258781 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB08670200 New Jersey

Profile Details

NPI number 1558569814
LBN Legal business name Malone, Jennie O'Lera
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Mar 14th, 2018 - about 8 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 1558569814 NPPES
New York MEDICAID 03269858

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