Malott, Thomas

Malott, Thomas is an individual health care provider with primary practice located at 285 W 12Th St Ste 112, Peru IN 46970-1653. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Malott, Thomas can be contacted via phone (765) 475-2388.

Contact Information

Primary practice address
285 W 12Th St Ste 112 Peru IN 46970-1653
Phone: (765) 475-2388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000716A Indiana

Profile Details

NPI number 1114982386
LBN Legal business name Malott, Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 27th, 2012 - about 14 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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