Malone, Michael D
Malone, Michael D is an individual health care provider with primary practice located at 3250 Gordonville Rd Ste 358 , Cape Girardeau MO 63703-5095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Malone, Michael D can be contacted via phone (573) 331-3155.Contact Information
Primary practice address
3250 Gordonville Rd Ste 358
Cape Girardeau MO 63703-5095
Phone: (573) 331-3155
Fax: (573) 331-5096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35083959 | Ohio |
Profile Details
| NPI number | 1982650719 |
|---|---|
| LBN Legal business name | Malone, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 1st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982650719 | NPPES |
| Ohio | Other | 000000329488 | ANTHEM BC/BS |
| Ohio | Other | 383693735027 | ANTHEM BC/BS |
| Ohio | Other | 5539685 | ANTHEM BC/BS |
| Ohio | Other | P00102611 | ANTHEM BC/BS |
| Ohio | MEDICAID | 2455589 | ANTHEM BC/BS |
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