Mallak, Natasha Suzanne

Mallak, Natasha Suzanne is an individual health care provider with primary practice located at 630 S 36Th Ave , Wausau WI 54401-3930. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mallak, Natasha Suzanne can be contacted via phone (715) 842-9500.

Contact Information

Primary practice address
630 S 36Th Ave Wausau WI 54401-3930
Phone: (715) 842-9500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3001023842 Wisconsin

Profile Details

NPI number 1174385256
LBN Legal business name Mallak, Natasha Suzanne
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2024
Last updated Jan 25th, 2024 - about last year

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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