Mulder, Joel R
Mulder, Joel R is an individual health care provider with primary practice located at 1 Walter Scholer Dr , Lafayette IN 47909-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mulder, Joel R can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
1 Walter Scholer Dr
Lafayette IN 47909-6303
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66015 | Wisconsin |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02002514A | Indiana |
Profile Details
NPI number | 1497724678 |
---|---|
LBN Legal business name | Mulder, Joel R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Mar 15th, 2021 - about 3 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 | 1497724678 | NPPES |
Indiana | MEDICAID | 200399900 | |
Indiana | Other | 000000991570 | |
Indiana | Other | 11438171 | |
Indiana | Other | 000000991565 | |
Indiana | Other | 000000349906 | |
Indiana | Other | 000000923025 | |
Indiana | Other | 9397339 |
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