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
Fax: (910) 251-9297
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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