Mulhern, Jeffrey G

Mulhern, Jeffrey G is an individual health care provider with primary practice located at 134 Capital Dr Ste E , West Springfield MA 01089-1320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mulhern, Jeffrey G can be contacted via phone (413) 733-0010.

Contact Information

Primary practice address
134 Capital Dr Ste E West Springfield MA 01089-1320
Phone: (413) 733-0010
Fax: (413) 930-2108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 035565 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 55789 Massachusetts

Profile Details

NPI number 1063402105
LBN Legal business name Mulhern, Jeffrey G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jan 11th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063402105 NPPES
Connecticut MEDICAID 003089150
Connecticut MEDICAID 110048323A

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