Mcmullen, Ray Edward

Mcmullen, Ray Edward is an individual health care provider with primary practice located at 1700 S Lincoln Ave , Lebanon PA 17042-7529. 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, Ray Edward can be contacted via phone (717) 272-6621.

Contact Information

Primary practice address
1700 S Lincoln Ave Lebanon PA 17042-7529
Phone: (717) 272-6621
Fax: (717) 228-6031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA002193L Pennsylvania

Profile Details

NPI number 1538277975
LBN Legal business name Mcmullen, Ray Edward
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 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 1538277975 NPPES
Pennsylvania Other MA002193L STATE LICENSE

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