Malm, Beverly Jean
Malm, Beverly Jean is an sole proprietor health care provider with primary practice located at 8816 Manoo St , Diamondhead MS 39525-4221. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Malm, Beverly Jean can be contacted via phone (228) 223-3763.Contact Information
Primary practice address
8816 Manoo St
Diamondhead MS 39525-4221
Phone: (228) 223-3763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1831395540 |
|---|---|
| LBN Legal business name | Malm, Beverly Jean |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Jul 15th, 2008 - about 17 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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