Mulholland, Jason
Mulholland, Jason is an individual health care provider with primary practice located at 602 S 42Nd St , Mount Vernon IL 62864-6264. 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. Mulholland, Jason can be contacted via phone (618) 242-1100.Contact Information
Primary practice address
602 S 42Nd St
Mount Vernon IL 62864-6264
Phone: (618) 242-1100
Fax: (618) 244-5147
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2004030999 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Illinois |
Profile Details
NPI number | 1346233152 |
---|---|
LBN Legal business name | Mulholland, Jason |
Credentials | MS, ATC, CSCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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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