Mula, Gregory Mark
Mula, Gregory Mark is an individual health care provider with primary practice located at 16061 Doctors Blvd Ste B, Hammond LA 70403-1479. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mula, Gregory Mark can be contacted via phone (985) 542-1334.Contact Information
Primary practice address
16061 Doctors Blvd Ste B
Hammond LA 70403-1479
Phone: (985) 542-1334
Fax: (985) 318-1005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 018272 | Louisiana |
Profile Details
| NPI number | 1265437362 |
|---|---|
| LBN Legal business name | Mula, Gregory Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Apr 23rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265437362 | NPPES |
| Louisiana | MEDICAID | 1377830 |
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