Mcmullen, David William

Mcmullen, David William is an individual health care provider with primary practice located at 48 Main St , Windsor Locks CT 06096-2326. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mcmullen, David William can be contacted via phone (860) 627-5230.

Contact Information

Primary practice address
48 Main St Windsor Locks CT 06096-2326
Fax: (860) 627-9283
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1093 Connecticut

Profile Details

NPI number 1184726747
LBN Legal business name Mcmullen, David William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Sep 27th, 2021 - 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 1184726747 NPPES
Connecticut Other 350001218 MEDICARE PTAN
Connecticut MEDICAID 004136439 MEDICARE PTAN

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