Mulder, Evan Richard

Mulder, Evan Richard is an individual health care provider with primary practice located at 501 N 10Th St , Manitowoc WI 54220. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mulder, Evan Richard can be contacted via phone (920) 682-6376.

Contact Information

Primary practice address
501 N 10Th St Manitowoc WI 54220
Phone: (920) 682-6376
Fax: (920) 652-0115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1554-39 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1554-39 Wisconsin

Profile Details

NPI number 1356745640
LBN Legal business name Mulder, Evan Richard
Credentials DAT, LAT, OTC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2014
Last updated Feb 11th, 2019 - about 6 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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