Eihentale, Mallia
Eihentale, Mallia is an sole proprietor health care provider with primary practice located at 5301 Keystone Ct , Rolling Meadows IL 60008-3811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eihentale, Mallia can be contacted via phone (847) 392-5440.Contact Information
Primary practice address
5301 Keystone Ct
Rolling Meadows IL 60008-3811
Phone: (847) 392-5440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.018102 | Illinois |
Profile Details
| NPI number | 1770198228 |
|---|---|
| LBN Legal business name | Eihentale, Mallia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2020 |
| Last updated | Sep 11th, 2020 - about 5 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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