Mallory, Jerry C

Mallory, Jerry C is an sole proprietor health care provider with primary practice located at 4018 Bayard 44121 , Apo AA 44121. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Mallory, Jerry C can be contacted via phone (216) 533-0094.

Contact Information

Primary practice address
4018 Bayard 44121 Apo AA 44121
Phone: (216) 533-0094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X Ohio

Profile Details

NPI number 1447702154
LBN Legal business name Mallory, Jerry C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2016
Last updated Oct 28th, 2016 - about 9 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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