Beardsley, Mallory
Beardsley, Mallory is an individual health care provider with primary practice located at 132 E Grand River Ave Ste 205 , Brighton MI 48116-1510. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Beardsley, Mallory can be contacted via phone (989) 239-0870.Contact Information
Primary practice address
132 E Grand River Ave Ste 205
Brighton MI 48116-1510
Phone: (989) 239-0870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401018036 | Michigan |
Profile Details
| NPI number | 1487126595 |
|---|---|
| LBN Legal business name | Beardsley, Mallory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2018 |
| Last updated | Oct 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487126595 | NPPES |
| Michigan | MEDICAID | 6401018036 |
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