Mcmullen, Brandon Robert

Mcmullen, Brandon Robert is an individual health care provider with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mcmullen, Brandon Robert can be contacted via phone (410) 543-7531.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801-5422
Phone: (410) 543-7531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1588937296
LBN Legal business name Mcmullen, Brandon Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Oct 21st, 2022 - about 3 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 1588937296 NPPES
Maryland Other C0004697 MARYLAND STATE LICENSE
Maryland Other C5-0000821 MARYLAND STATE LICENSE

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