Mallett, Janelle Rachel
Mallett, Janelle Rachel is an individual health care provider with primary practice located at 21 South Rd Dermatology, Farmington CT 06032-2482. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mallett, Janelle Rachel can be contacted via phone (860) 679-4600.Contact Information
Primary practice address
21 South Rd Dermatology
Farmington CT 06032-2482
Phone: (860) 679-4600
Fax: (860) 679-1248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 049883 | Connecticut |
Profile Details
| NPI number | 1356529390 |
|---|---|
| LBN Legal business name | Mallett, Janelle Rachel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2008 |
| Last updated | Sep 26th, 2022 - about 2 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 | 1356529390 | NPPES |
| Connecticut | MEDICAID | 1356529390 |
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