Malin, Roxanne

Malin, Roxanne is an individual health care provider with primary practice located at 45 Executive Dr , Jackson TN 38305-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Malin, Roxanne can be contacted via phone (731) 664-2083.

Contact Information

Primary practice address
45 Executive Dr Jackson TN 38305-2337
Fax: (731) 664-1988
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PE 1538 Tennessee

Profile Details

NPI number 1568571313
LBN Legal business name Malin, Roxanne
Credentials LPE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568571313 NPPES
Tennessee Other 4110536 BCBS PROVIDER NUMBER

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