Aaron Dael Mallard, BSE
Individual provider Active NPI Case Manager/Care Coordinator · Welch, OK
NPI 1326328766 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1326328766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 541 S Washington St
Welch, OK 74369-9549 - Phone
- (918) 325-1851
- NPI assigned
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
541 S Washington St
Welch, OK 74369-9549
Mailing address
541 S Washington St
Welch, OK 74369-9549
Phone (918) 325-1851
Other providers in Welch, OK
All providers in Welch, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.