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
Phone: (314) 977-4644
Fax: (314) 977-7879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 281536 | Massachusetts |
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 2021042904 | Missouri |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760895635 | NPPES |
| Massachusetts | MEDICAID | 110158276A |
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