Abate, Mallory Shiver
Abate, Mallory Shiver is an sole proprietor health care provider with primary practice located at 1225 S Grand Blvd Fl 3 , Saint Louis MO 63104-1016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Abate, Mallory Shiver can be contacted via phone (314) 256-3400.Contact Information
Primary practice address
1225 S Grand Blvd Fl 3
Saint Louis MO 63104-1016
Phone: (314) 256-3400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2017014176 | Missouri |
Profile Details
NPI number | 1710320767 |
---|---|
LBN Legal business name | Abate, Mallory Shiver |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2013 |
Last updated | Feb 22nd, 2021 - about 3 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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