MALLORY STOLICKER (NPI# 1659884336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659884336 |
| Entity Type | Individual |
| Full Name | MALLORY STOLICKER |
| Practice Address |
3636 Coleman Rd Apt 133 East Lansing MI 48823-6141 |
| Mailing Address |
223 Kalamazoo St Rm 105 East Lansing MI 48824-5400 |
| Practice Telephone | 2699080565 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3636 COLEMAN RD APT 133 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1043862451 | Ahmed Elshafie | Student in an Organized Health Care Education/Training Program | 788 Service Rd Rm B301788, East Lansing, MI 48824-7013 | 2019-07-15 |
| 1154987741 | Ryan Michael Prusko I | Student in an Organized Health Care Education/Training Program | 804 Service Rd Ste A112, East Lansing, MI 48824-7015 | 2019-05-19 |
| 1255802260 | Thomas Patrick Keegan | Student in an Organized Health Care Education/Training Program | 965 Wilson Rd, East Lansing, MI 48824-6410 | 2018-12-17 |
| 1043795453 | Jonathan Lamont Smith | Student in an Organized Health Care Education/Training Program | 591 N. Shaw Ln., East Shaw Hall E155, East Lansing, MI 48825 | 2018-10-02 |
| 1558857797 | Katie S Rosenthal | Student in an Organized Health Care Education/Training Program | 220 Trowbridge Rd, East Lansing, MI 48824-3407 | 2018-07-10 |
| 1538676788 | Alexander A Farhadi | Student in an Organized Health Care Education/Training Program | 6165 Innkeepers Ct Apt 76, East Lansing, MI 48823-7821 | 2018-01-09 |
| 1902254048 | Lydia Reedy | Student in an Organized Health Care Education/Training Program | 155 Oakland Dr, East Lansing, MI 48823-4714 | 2016-05-31 |
| 1437505054 | Elizabeth Boudiab | Student in an Organized Health Care Education/Training Program | 965 Fee Rd # A110, East Lansing, MI 48824-6410 | 2016-05-12 |
| 1851707145 | Zil-e-huma Sheikh | Student in an Organized Health Care Education/Training Program | 4060 Springer Way, Apt 211, East Lansing, MI 48823-8329 | 2014-07-07 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on MALLORY STOLICKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.