O Malley, Robert Brian
O Malley, Robert Brian is an individual health care provider with primary practice located at 1505 Medical Center Drive , Wilmington NC 28401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. O Malley, Robert Brian can be contacted via phone (910) 251-9880.Contact Information
Primary practice address
1505 Medical Center Drive
Wilmington NC 28401
Phone: (910) 251-9880
Fax: (910) 251-9297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 418 | North Carolina |
Profile Details
| NPI number | 1528080389 |
|---|---|
| LBN Legal business name | O Malley, Robert Brian |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Dec 22nd, 2014 - about 12 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 | 1528080389 | NPPES |
| North Carolina | Other | 2433365 | MEDICARE PTAN |
| North Carolina | Other | 1284510001 | MEDICARE PTAN |
| North Carolina | MEDICAID | 790801M | MEDICARE PTAN |
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