Malott, Brian Joel

Malott, Brian Joel is an individual health care provider with primary practice located at 201 Cedar St Se Ste 6600 , Albuquerque NM 87106-5411. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Malott, Brian Joel can be contacted via phone (505) 734-4300.

Contact Information

Primary practice address
201 Cedar St Se Ste 6600 Albuquerque NM 87106-5411
Phone: (505) 734-4300
Fax: (505) 724-4384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2013-0044 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2013-0044 New Mexico

Profile Details

NPI number 1144652108
LBN Legal business name Malott, Brian Joel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2013
Last updated Sep 13th, 2024 - about 2 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 1144652108 NPPES
New Mexico MEDICAID 16433882

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