Mall, Margaret Jane
Mall, Margaret Jane is an individual health care provider with primary practice located at 1323 Bia Route 4 , Fort Thompson SD 57339-0200. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Mall, Margaret Jane can be contacted via phone (604) 245-1534.Contact Information
Primary practice address
1323 Bia Route 4
Fort Thompson SD 57339-0200
Phone: (604) 245-1534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 425 | Montana |
Profile Details
| NPI number | 1609975721 |
|---|---|
| LBN Legal business name | Mall, Margaret Jane |
| Credentials | RD LN BC-ADM CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jun 5th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609975721 | NPPES |
| New Mexico | MEDICAID | 000K3526 | |
| New Mexico | Other | HSZ196 |
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