Nicholson, Mallory Jo

Nicholson, Mallory Jo is an sole proprietor health care provider with primary practice located at 1990 Grand Ave , West Des Moines IA 50265-4222. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Nicholson, Mallory Jo can be contacted via phone (515) 223-8151.

Contact Information

Primary practice address
1990 Grand Ave West Des Moines IA 50265-4222
Phone: (515) 223-8151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 002117 Iowa

Profile Details

NPI number 1154751196
LBN Legal business name Nicholson, Mallory Jo
Credentials RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2013
Last updated Nov 12th, 2013 - about 13 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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