Mcmullen, Mary Jo

Mcmullen, Mary Jo is an individual health care provider with primary practice located at 400 Wabash Ave , Akron OH 44307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mcmullen, Mary Jo can be contacted via phone (330) 344-1799.

Contact Information

Primary practice address
400 Wabash Ave Akron OH 44307
Fax: (330) 253-8293
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35040855 Ohio

Profile Details

NPI number 1023076031
LBN Legal business name Mcmullen, Mary Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1023076031 NPPES
Ohio MEDICAID 0405823

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