Albert Staebler Malcolm in Middletown - Specialist

Albert Staebler Malcolm - NPI 1114914272

Albert Staebler Malcolm is a Specialist in Middletown, Ohio. Albert Staebler Malcolm practices all healthcare services and medical treatments related to Specialist. The NPI Number for Albert Staebler Malcolm is 1114914272. The last update date is 2012-08-15.

Albert Staebler Malcolm's current location address is 235 N Breiel Blvd, Middletown, Ohio. You can contact this provider via phone number 5134230504 and fax number 5134239536. The mailing address for Albert Staebler Malcolm is 235 N Breiel Blvd, Middletown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Albert Staebler Malcolm
Address 235 N Breiel Blvd, Middletown, Ohio
Phone Number 5134230504
Fax Number 5134239536
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114914272
Provider Enumeration Date 2005-10-04
Last Updated Date 2012-08-15

Provider Mailing Address Detail

Address 235 N Breiel Blvd
City Middletown
State Ohio (OH)
Post Code 450423807
Phone Number 5134230504
Fax Number 5134239536

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 35055576
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
837572 OH --

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FAQs about Albert Staebler Malcolm

What is the unique 10-digit identifier code issued to Albert Staebler Malcolm by the Centers for Medicare & Medicaid Services?

The Albert Staebler Malcolm has been assigned the NPI (National Provider Identifier) 1114914272 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Albert Staebler Malcolm?

The Albert Staebler Malcolm is situated at 235 N Breiel Blvd, in the city of Middletown, state of OH, with the zip code 450423807.

What is the area of specialization for Albert Staebler Malcolm, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Albert Staebler Malcolm is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Albert Staebler Malcolm receive its 1114914272 assignment from the Centers for Medicare & Medicaid Services?

The Albert Staebler Malcolm was assigned its 1114914272 by the Centers for Medicare & Medicaid Services on 2005-10-04.

As of what date were the details related to Albert Staebler Malcolm most recently updated or revised?

The information pertaining to Albert Staebler Malcolm, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-15.

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