Mallery, Cheyenne Michele
Mallery, Cheyenne Michele is an sole proprietor health care provider with primary practice located at 2359 State Route 17 , La Fayette IL 61449-9623. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mallery, Cheyenne Michele can be contacted via phone (309) 854-2579.Contact Information
Primary practice address
2359 State Route 17
La Fayette IL 61449-9623
Phone: (309) 854-2579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 143858 | Iowa |
| Nursing Service Providers / Registered Nurse | 163W00000X | 1020215 | Texas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 041436220 | Illinois |
Profile Details
| NPI number | 1962074245 |
|---|---|
| LBN Legal business name | Mallery, Cheyenne Michele |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2021 |
| Last updated | Jul 15th, 2021 - about 5 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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