Crosier, Mallory
Crosier, Mallory is an individual health care provider with primary practice located at 6800 Nw 39Th Expresswaay , Bethany OK 73008. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Crosier, Mallory can be contacted via phone (405) 440-9866.Contact Information
Primary practice address
6800 Nw 39Th Expresswaay
Bethany OK 73008
Phone: (405) 440-9866
Fax: (405) 440-6747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 1726 | Oklahoma |
Profile Details
| NPI number | 1356600407 |
|---|---|
| LBN Legal business name | Crosier, Mallory |
| Credentials | MOT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2012 |
| Last updated | Oct 19th, 2015 - about 10 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 | 1356600407 | NPPES |
| Oklahoma | MEDICAID | 200428880A |
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