Patino, Mallory
Patino, Mallory is an individual health care provider with primary practice located at 417 Baltimore Pike , Springfield PA 19064-3810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Patino, Mallory can be contacted via phone (484) 470-2600.Contact Information
Primary practice address
417 Baltimore Pike
Springfield PA 19064-3810
Phone: (484) 470-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | OA004186 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA059129 | Pennsylvania |
Profile Details
| NPI number | 1790206274 |
|---|---|
| LBN Legal business name | Patino, Mallory |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2017 |
| Last updated | Mar 10th, 2022 - 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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