Malvik, Natalie Mae

Malvik, Natalie Mae is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, which is considered as her primary health care specialty. Malvik, Natalie Mae can be contacted via phone (314) 977-4644.

Contact Information

Primary practice address
1201 S Grand Blvd Saint Louis MO 63104-1016
Fax: (314) 977-7879
Website:

Health care specialties

Profile Details

NPI number 1760895635
LBN Legal business name Malvik, Natalie Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2014
Last updated Dec 9th, 2021 - about 3 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 1760895635 NPPES
Massachusetts MEDICAID 110158276A

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