Mallory, Terry K

Mallory, Terry K is an individual health care provider with primary practice located at 345 6Th St Ste 300 , Bremerton WA 98337-1866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mallory, Terry K can be contacted via phone (360) 337-5235.

Contact Information

Primary practice address
345 6Th St Ste 300 Bremerton WA 98337-1866
Phone: (360) 337-5235
Fax: (360) 337-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30000361 Washington

Profile Details

NPI number 1124117296
LBN Legal business name Mallory, Terry K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 10th, 2012 - about 12 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 1124117296 NPPES
Washington MEDICAID 9616400
Washington Other 137845
Washington Other MA8337

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