Mcmullen, Michael Patrick

Mcmullen, Michael Patrick is an sole proprietor health care provider with primary practice located at 505 Beahan Rd , Rochester NY 14624-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcmullen, Michael Patrick can be contacted via phone (585) 426-1470.

Contact Information

Primary practice address
505 Beahan Rd Rochester NY 14624-3403
Phone: (585) 426-1470
Fax: (585) 426-6510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 163485 New York

Profile Details

NPI number 1073575429
LBN Legal business name Mcmullen, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Nov 20th, 2009 - about 15 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 1073575429 NPPES
New York Other 1573 BLUE SHIELD PROVIDER #
New York MEDICAID 01089129 BLUE SHIELD PROVIDER #
New York Other 5008322 BLUE SHIELD PROVIDER #
New York Other BF101110 BLUE SHIELD PROVIDER #
New York Other P010163485 BLUE SHIELD PROVIDER #
New York Other MM31444B BLUE SHIELD PROVIDER #
New York Other 000911507002 BLUE SHIELD PROVIDER #

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