Mallett, Meagen M

Mallett, Meagen M is an individual health care provider with primary practice located at 950 E County Line Rd Ste E, Ridgeland MS 39157-1928. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mallett, Meagen M can be contacted via phone (601) 853-9147.

Contact Information

Primary practice address
950 E County Line Rd Ste E Ridgeland MS 39157-1928
Fax: (601) 898-4761
Website:

Health care specialties

Profile Details

NPI number 1154383511
LBN Legal business name Mallett, Meagen M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jun 15th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154383511 NPPES
Mississippi MEDICAID 07685379

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