Mallick, Autum Marie

Mallick, Autum Marie is an sole proprietor health care provider with primary practice located at 7165 Tee Don Ct , Holt FL 32564-8925. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Mallick, Autum Marie can be contacted via phone (850) 313-9846.

Contact Information

Primary practice address
7165 Tee Don Ct Holt FL 32564-8925
Phone: (850) 313-9846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1578108627
LBN Legal business name Mallick, Autum Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2019
Last updated Nov 14th, 2019 - about 6 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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