Malm, Beverly Jean

Malm, Beverly Jean is an sole proprietor health care provider with primary practice located at 8816 Manoo St , Diamondhead MS 39525-4221. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Malm, Beverly Jean can be contacted via phone (228) 223-3763.

Contact Information

Primary practice address
8816 Manoo St Diamondhead MS 39525-4221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1831395540
LBN Legal business name Malm, Beverly Jean
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated Jul 15th, 2008 - about 16 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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