Mallare, Stacy S

Mallare, Stacy S is an individual health care provider with primary practice located at 10954 Hilltop Ln , Columbia MD 21044-3780. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mallare, Stacy S can be contacted via phone (410) 718-3213.

Contact Information

Primary practice address
10954 Hilltop Ln Columbia MD 21044-3780
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R186082 Maryland

Profile Details

NPI number 1639540420
LBN Legal business name Mallare, Stacy S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Oct 19th, 2015 - about 9 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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