Phenix, Malinda A
Phenix, Malinda A is an sole proprietor health care provider with primary practice located at 5819 Hodiamont Ave , Saint Louis MO 63136-3601. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Phenix, Malinda A can be contacted via phone (314) 757-1191.Contact Information
Primary practice address
5819 Hodiamont Ave
Saint Louis MO 63136-3601
Phone: (314) 757-1191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 20151139 | Missouri |
Profile Details
| NPI number | 1083230924 |
|---|---|
| LBN Legal business name | Phenix, Malinda A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2020 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083230924 | NPPES |
| Missouri | MEDICAID | K208033007 |
Popular Providers
-
Kern, Tielia
3056 Fair Ave , Saint Louis MO 63115-3230 -
Davis-Gibbs, Chaunta S
4585 Cote Brilliante Ave , Saint Louis MO 63113-2225 -
Thomas, Juanita Felisha
4144 Lindell Blvd Ste 317 , Saint Louis MO 63108-2953 -
Williams, Alyssa
3015 N Ballas Rd , Saint Louis MO 63131-2329 -
Stallings, Whitney
7122 El Tora Ave , Saint Louis MO 63133 -
Welch, Marcia Madonna
9670 Muriel Ave , Saint Louis MO 63114-2614 -
Daniel, Tiauna
3919 Washington Blvd , Saint Louis MO 63108-3507 -
Tillman, Kenhdra
1029 Prigge Rd , Saint Louis MO 63138-3553