Mallery, John F
Mallery, John F is an sole proprietor health care provider with primary practice located at 4075 Old Western Row Rd , Mason OH 45040-3104. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mallery, John F can be contacted via phone (513) 536-4673.Contact Information
Primary practice address
4075 Old Western Row Rd
Mason OH 45040-3104
Phone: (513) 536-4673
Fax: (513) 536-0609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004747A | Indiana |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1440065 | Ohio |
Profile Details
| NPI number | 1487707238 |
|---|---|
| LBN Legal business name | Mallery, John F |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Mar 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 | 1487707238 | NPPES |
| Indiana | Other | 000000354542 | BLUE SHIELD |
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