Mallady, Shawn P
Mallady, Shawn P is an individual health care provider with primary practice located at 1104 N Vermilion St , Danville IL 61832-3094. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mallady, Shawn P can be contacted via phone (217) 442-2631.Contact Information
Primary practice address
1104 N Vermilion St
Danville IL 61832-3094
Phone: (217) 442-2631
Fax: (217) 442-0119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008619 | Illinois |
Profile Details
| NPI number | 1891772331 |
|---|---|
| LBN Legal business name | Mallady, Shawn P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Oct 9th, 2014 - 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.
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