Blair, Mallory E
Blair, Mallory E is an individual health care provider with primary practice located at 3 Hospital Dr , Columbia MO 65201-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blair, Mallory E can be contacted via phone (573) 882-8913.Contact Information
Primary practice address
3 Hospital Dr
Columbia MO 65201-0001
Phone: (573) 882-8913
Fax: (573) 884-1070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2022015302 | Missouri |
Profile Details
| NPI number | 1114664869 |
|---|---|
| LBN Legal business name | Blair, Mallory E |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2022 |
| Last updated | Sep 1st, 2022 - about 2 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 | 1114664869 | NPPES |
| Missouri | MEDICAID | 420110976 |
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