Mackall, Telissa

Mackall, Telissa is an individual health care provider with primary practice located at 8930 Stanford Blvd , Columbia MD 21045-5805. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mackall, Telissa can be contacted via phone (443) 285-0807.

Contact Information

Primary practice address
8930 Stanford Blvd Columbia MD 21045-5805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP46362 Maryland

Profile Details

NPI number 1043753379
LBN Legal business name Mackall, Telissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Nov 18th, 2016 - about 8 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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