Provider Demographics
NPI:1457407470
Name:MALIK, NAOMI NOEL (DC)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:NOEL
Last Name:MALIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VT
Mailing Address - Zip Code:05091-1172
Mailing Address - Country:US
Mailing Address - Phone:802-457-7012
Mailing Address - Fax:
Practice Address - Street 1:146 ANOKA AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3428
Practice Address - Country:US
Practice Address - Phone:401-289-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0102647111N00000X
RIDC00429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI22550OtherBLUE CROSS
MAY36982OtherBLUE CROSS
MAY36982OtherBLUE CROSS