Phenix, Malinda A
Phenix, Malinda A is an sole proprietor health care provider with primary practice located at 5819 Hodiamont Ave , Saint Louis MO 63136-3601. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Phenix, Malinda A can be contacted via phone (314) 757-1191.Contact Information
Primary practice address
5819 Hodiamont Ave
Saint Louis MO 63136-3601
Phone: (314) 757-1191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 20151139 | Missouri |
Profile Details
| NPI number | 1083230924 |
|---|---|
| LBN Legal business name | Phenix, Malinda A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2020 |
| Last updated | Jun 16th, 2020 - about 5 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 | 1083230924 | NPPES |
| Missouri | MEDICAID | K208033007 |
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