| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARC SCHMALLEN | 1215714597 | 2023-09-11 |
Marc Schmallen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215714597. Registration indicates Marc Schmallen is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Marc Schmallen |
| Practice Office Address | 11401 MENAUL BLVD NE ALBUQUERQUE, NM US |
| Practice Office Telephone | 5055263649 |
| Practice Office Fax | 8665983722 |
| Mailing Address | 300 MENAUL BLVD NW SUITE A #236 ALBUQUERQUE, NM 87107 US |
| Business Telephone | 5055263649 |
| Business Fax | 8665983722 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
NM |