Mallmann, Matthew
Mallmann, Matthew is an individual health care provider with primary practice located at 3655 S Baldwin Rd , Lake Orion MI 48359-1506. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is his primary health care specialty. Mallmann, Matthew can be contacted via phone (248) 393-1699.Contact Information
Primary practice address
3655 S Baldwin Rd
Lake Orion MI 48359-1506
Phone: (248) 393-1699
Fax: (248) 393-1711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification | 225XE0001X | L2411741 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics | 225XE1200X | L2411741 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | L2411741 | Michigan |
Profile Details
| NPI number | 1811237746 |
|---|---|
| LBN Legal business name | Mallmann, Matthew |
| Credentials | MOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2013 |
| Last updated | Aug 21st, 2015 - about 11 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 | 1811237746 | NPPES |
| Michigan | Other | 45-4940205 | TAX ID |
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