Jacks, Mallory

Jacks, Mallory is an sole proprietor health care provider with primary practice located at 1302 Spyglass Dr Apt 173 , Austin TX 78746-7586. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Jacks, Mallory can be contacted via phone (501) 658-7888.

Contact Information

Primary practice address
1302 Spyglass Dr Apt 173 Austin TX 78746-7586
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1184250375
LBN Legal business name Jacks, Mallory
Credentials Clinical Dietitian (CD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2020
Last updated Mar 19th, 2020 - about 6 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.

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