O'Niel, Mallory Brooke

O'Niel, Mallory Brooke is an individual health care provider with primary practice located at 3901 Beaubien St Ste 2102 , Detroit MI 48201-2119. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is her primary health care specialty. O'Niel, Mallory Brooke can be contacted via phone (313) 745-9048.

Contact Information

Primary practice address
3901 Beaubien St Ste 2102 Detroit MI 48201-2119
Phone: (313) 745-9048
Fax: (313) 993-3879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 4301112964 Michigan

Profile Details

NPI number 1528357506
LBN Legal business name O'Niel, Mallory Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated Jul 21st, 2022 - about 4 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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