Gauthier, Mallory

Gauthier, Mallory is an individual health care provider with primary practice located at 207 W Jackson St Ste 201 , Carbondale IL 62901-1408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gauthier, Mallory can be contacted via phone (618) 457-2963.

Contact Information

Primary practice address
207 W Jackson St Ste 201 Carbondale IL 62901-1408
Phone: (618) 457-2963
Fax: (618) 457-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006422 Illinois

Profile Details

NPI number 1598277907
LBN Legal business name Gauthier, Mallory
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Apr 20th, 2026 - about 6 months 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.

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