National Provider Identifier Database

MALLARD CREEK THERAPEUTIC SERVICES
Rehabilitation


NPI Profile & details for MALLARD CREEK THERAPEUTIC SERVICES

NPI Number 1427988146
Legal business name
LBN
MALLARD CREEK THERAPEUTIC SERVICES
Authorized official JACQUELINE WILLIAMS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/22/2026
Last updated 05/22/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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