Malone, Pattie Jean

Malone, Pattie Jean is an individual health care provider with primary practice located at 200 W. Hospital Drive , Whiteriver AZ 85941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Malone, Pattie Jean can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 W. Hospital Drive Whiteriver AZ 85941
Phone: (928) 338-4911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00044365 Washington

Profile Details

NPI number 1104832369
LBN Legal business name Malone, Pattie Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 15th, 2008 - about 18 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 1104832369 NPPES
Arizona MEDICAID 1629236716
Arizona MEDICAID 1295993376
Arizona MEDICAID 1780614008
Arizona MEDICAID 1871523191
Arizona MEDICAID 962961

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