Mcmullan, Michael R.

Mcmullan, Michael R. is an individual health care provider with primary practice located at 2500 N State St Division Of Cardiology, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mcmullan, Michael R. can be contacted via phone (601) 984-6426.

Contact Information

Primary practice address
2500 N State St Division Of Cardiology Jackson MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13195 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 13195 Mississippi

Profile Details

NPI number 1104857036
LBN Legal business name Mcmullan, Michael R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 24th, 2019 - about 5 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 1104857036 NPPES
Mississippi MEDICAID 0119549
Mississippi Other P01402426

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