Mcmullen, Joseph Robert

Mcmullen, Joseph Robert is an sole proprietor health care provider with primary practice located at 290 Brinkby Ave , Reno NV 89509. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mcmullen, Joseph Robert can be contacted via phone (775) 825-0285.

Contact Information

Primary practice address
290 Brinkby Ave Reno NV 89509
Fax: (775) 826-6017
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3646 Nevada

Profile Details

NPI number 1720043664
LBN Legal business name Mcmullen, Joseph Robert
Credentials DDS MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Aug 13th, 2012 - about 12 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 1720043664 NPPES
Nevada MEDICAID 002016098
Nevada MEDICAID 002216098

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