Richter, Holly Mallett

Richter, Holly Mallett is an individual health care provider with primary practice located at 538 Sandhurst Dr , Fayetteville NC 28304-4426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Richter, Holly Mallett can be contacted via phone (910) 321-7337.

Contact Information

Primary practice address
538 Sandhurst Dr Fayetteville NC 28304-4426
Fax: (910) 321-0003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200001071814 North Carolina

Profile Details

NPI number 1033106844
LBN Legal business name Richter, Holly Mallett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Feb 13th, 2012 - about 13 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 1033106844 NPPES
North Carolina Other 127V3 BCBS
North Carolina MEDICAID 89127V3 BCBS

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