Mall, Ian

Mall, Ian is an sole proprietor health care provider with primary practice located at 9981 Forrest Dr , Ooltewah TN 37363-8300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Home Health, which is considered as his primary health care specialty. Mall, Ian can be contacted via phone (423) 362-8192.

Contact Information

Primary practice address
9981 Forrest Dr Ooltewah TN 37363-8300
Phone: (423) 362-8192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Home Health 364SH0200X 20836 Tennessee

Profile Details

NPI number 1144689456
LBN Legal business name Mall, Ian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2016
Last updated Feb 15th, 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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