Michael J. Smullen, Md
LBN: Michael J. Smullen, Md
Michael J. Smullen, Md is an health care organization with primary practice located at 1239 W Mason St , Green Bay WI 54303-2047. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Michael J. Smullen, Md can be contacted via phone (920) 499-0696, or through Smullen, Michael J. via phone (920) 499-0696.
Contact Information
Primary practice address
1239 W Mason St
Green Bay WI 54303-2047
Phone: (920) 499-0696
Fax: (920) 499-0697
Website:
Authorized official contact:
Name: Smullen, Michael J. Doctor of Medicine (MD)
Phone: (920) 499-0696
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
NPI number | 1194148379 |
---|---|
LBN Legal business name | Michael J. Smullen, Md |
DBA Doing business as | |
Authorized official | Smullen, Michael J. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 24th, 2014 |
Last updated | Jan 24th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194148379 | NPPES |
Wisconsin | MEDICAID | 30979400 |
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