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
Phone: (717) 632-8571
Fax: (717) 632-6466
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376165928 | NPPES |
| Pennsylvania | MEDICAID | 103892011 |
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