Mallahan, Michael Stephen
Mallahan, Michael Stephen is an individual health care provider with primary practice located at 15906 Mill Creek Blvd Suite 102, Mill Creek WA 98012-1797. He recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Mallahan, Michael Stephen can be contacted via phone (425) 225-2626.Contact Information
Primary practice address
15906 Mill Creek Blvd Suite 102
Mill Creek WA 98012-1797
Phone: (425) 225-2626
Fax: (425) 225-2634
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | LD00001117 | Washington |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD0001117 | Washington |
Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | LD00001117 | Washington |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | LD00001117 | Washington |
Profile Details
NPI number | 1194720367 |
---|---|
LBN Legal business name | Mallahan, Michael Stephen |
Credentials | AU.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2005 |
Last updated | Dec 30th, 2010 - about 14 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 | 1194720367 | NPPES |
Washington | MEDICAID | 7089592 | |
Washington | Other | 117072 | |
Washington | Other | MA5615 |
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