Mallett, Gregg S
Mallett, Gregg S is an sole proprietor health care provider with primary practice located at 22661 Lambert St Suite 207, Lake Forest CA 92630-1612. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Mallett, Gregg S can be contacted via phone (949) 916-9742.Contact Information
Primary practice address
22661 Lambert St Suite 207
Lake Forest CA 92630-1612
Phone: (949) 916-9742
Fax: (949) 716-2694
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 2812 | Massachusetts |
Chiropractic Providers / Orthopedic | 111NX0800X | 30918 | California |
Profile Details
NPI number | 1902939648 |
---|---|
LBN Legal business name | Mallett, Gregg S |
Credentials | DC, ATC, CKTP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 13th, 2007 |
Last updated | Mar 1st, 2013 - about 11 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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