Mallick, Omeir

Mallick, Omeir is an sole proprietor health care provider with primary practice located at 138 Broadway , Hanover PA 17331-2500. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mallick, Omeir can be contacted via phone (717) 632-8571.

Contact Information

Primary practice address
138 Broadway Hanover PA 17331-2500
Fax: (717) 632-6466
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS043118 Pennsylvania

Profile Details

NPI number 1376165928
LBN Legal business name Mallick, Omeir
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2020
Last updated Mar 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376165928 NPPES
Pennsylvania MEDICAID 103892011

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