1760557169 NPI number — DR. MICHAEL W MALEY DC

Table of content: DR. MICHAEL W MALEY DC (NPI 1760557169)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760557169 NPI number — DR. MICHAEL W MALEY DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MALEY
Provider First Name:
MICHAEL
Provider Middle Name:
W
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760557169
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6310 MARKET AVE N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44721-3127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-768-7737
Provider Business Mailing Address Fax Number:
330-452-9636

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6310 MARKET AVE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44721-3127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-768-7737
Provider Business Practice Location Address Fax Number:
330-494-8195
Provider Enumeration Date:
11/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X , with the licence number:  1232 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111NS0005X , with the licence number: 1232 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0639081 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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