Martin, Mallory Winnie-Mae
Martin, Mallory Winnie-Mae is an individual health care provider with primary practice located at 10345 Alta Vista Rd , Fort Worth TX 76244-6501. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Martin, Mallory Winnie-Mae can be contacted via phone (817) 562-2828.Contact Information
Primary practice address
10345 Alta Vista Rd
Fort Worth TX 76244-6501
Phone: (817) 562-2828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 99491 | Texas |
Profile Details
| NPI number | 1598491359 |
|---|---|
| LBN Legal business name | Martin, Mallory Winnie-Mae |
| Credentials | CPM, LM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2022 |
| Last updated | Jul 25th, 2022 - about 2 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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