Mulanax, Nathan Dale
Mulanax, Nathan Dale is an sole proprietor health care provider with primary practice located at 105 E Crandall Ave , Harrison AR 72601-3629. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mulanax, Nathan Dale can be contacted via phone (870) 704-4072.Contact Information
Primary practice address
105 E Crandall Ave
Harrison AR 72601-3629
Phone: (870) 704-4072
Fax: (870) 743-9881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1689 | Arkansas |
Profile Details
| NPI number | 1750505392 |
|---|---|
| LBN Legal business name | Mulanax, Nathan Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750505392 | NPPES |
| Arkansas | MEDICAID | 167484718 | |
| Arkansas | Other | 5A367 |
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