Jacober, Mallory

Jacober, Mallory is an individual health care provider with primary practice located at 44201 Dequindre Rd Ste Ec , Troy MI 48085-1117. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jacober, Mallory can be contacted via phone (248) 259-3088.

Contact Information

Primary practice address
44201 Dequindre Rd Ste Ec Troy MI 48085-1117
Phone: (248) 259-3088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704319264 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704319264 Michigan

Profile Details

NPI number 1871200964
LBN Legal business name Jacober, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2022
Last updated Feb 3rd, 2023 - about last year

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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