Malliett, Brian C
Malliett, Brian C is an sole proprietor health care provider with primary practice located at 1466 Hunters Run Dr , Bourbonnais IL 60914-4520. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Malliett, Brian C can be contacted via phone (815) 474-9550.Contact Information
Primary practice address
1466 Hunters Run Dr
Bourbonnais IL 60914-4520
Phone: (815) 474-9550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1907241 | Illinois |
Profile Details
| NPI number | 1316456536 |
|---|---|
| LBN Legal business name | Malliett, Brian C |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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