Middleton, Mallory
Middleton, Mallory is an sole proprietor health care provider with primary practice located at 920 Oliver Rd , Monroe LA 71201-5702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Middleton, Mallory can be contacted via phone (318) 807-6263.Contact Information
Primary practice address
920 Oliver Rd
Monroe LA 71201-5702
Phone: (318) 807-6263
Fax: (318) 812-7348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 206724 | Louisiana |
Profile Details
| NPI number | 1992367833 |
|---|---|
| LBN Legal business name | Middleton, Mallory |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jan 16th, 2020 - 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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