Malcom, Andrea Lynne

Malcom, Andrea Lynne is an individual health care provider with primary practice located at 4920 South 30Th Street Suite 103, Omaha NE 68107-1656. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Malcom, Andrea Lynne can be contacted via phone (402) 734-4110.

Contact Information

Primary practice address
4920 South 30Th Street Suite 103 Omaha NE 68107-1656
Phone: (402) 734-4110
Fax: (402) 952-1020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2000 Nebraska

Profile Details

NPI number 1528213121
LBN Legal business name Malcom, Andrea Lynne
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2008
Last updated Sep 2nd, 2022 - about 3 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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