Miller, Mallory L.
Miller, Mallory L. is an individual health care provider with primary practice located at 100 Radnor Rd Ste 101 , State College PA 16801. 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. Miller, Mallory L. can be contacted via phone (814) 231-7878.Contact Information
Primary practice address
100 Radnor Rd Ste 101
State College PA 16801
Phone: (814) 231-7878
Fax: (814) 237-1034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA058348 | Pennsylvania |
Profile Details
| NPI number | 1740685858 |
|---|---|
| LBN Legal business name | Miller, Mallory L. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2014 |
| Last updated | Jan 28th, 2020 - about 6 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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