Mc Mullen, Jerry Michael

Mc Mullen, Jerry Michael is an individual health care provider with primary practice located at 1400 Emeline Ave Bldg K , Santa Cruz CA 95060-1976. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mc Mullen, Jerry Michael can be contacted via phone (831) 454-4957.

Contact Information

Primary practice address
1400 Emeline Ave Bldg K Santa Cruz CA 95060-1976
Phone: (831) 454-4957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1366647620
LBN Legal business name Mc Mullen, Jerry Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jul 8th, 2007 - about 18 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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