Malouf, Jillian
Malouf, Jillian is an sole proprietor health care provider with primary practice located at 5193 Borch St N , Ketchikan AK 99901-9036. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Malouf, Jillian can be contacted via phone (907) 617-0467.Contact Information
Primary practice address
5193 Borch St N
Ketchikan AK 99901-9036
Phone: (907) 617-0467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 882 | Alaska |
Profile Details
| NPI number | 1609940956 |
|---|---|
| LBN Legal business name | Malouf, Jillian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1609940956 | NPPES |
| Alaska | MEDICAID | OT5664 |
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