Mallery, Erin M.
Mallery, Erin M. is an individual health care provider with primary practice located at 2901 174Th St Ne , Marysville WA 98271-4743. 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. Mallery, Erin M. can be contacted via phone (360) 454-1900.Contact Information
Primary practice address
2901 174Th St Ne
Marysville WA 98271-4743
Phone: (360) 454-1900
Fax: (360) 454-1991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.60511982 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60511982 | Washington |
Profile Details
| NPI number | 1396149753 |
|---|---|
| LBN Legal business name | Mallery, Erin M. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2014 |
| Last updated | Apr 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396149753 | NPPES |
| Other | 1122012 | NCCPA |
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