Mulkern, John P
Mulkern, John P is an individual health care provider with primary practice located at 700 Congress St Ste 303, Quincy MA 02169-0909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mulkern, John P can be contacted via phone (617) 770-4411.Contact Information
Primary practice address
700 Congress St Ste 303
Quincy MA 02169-0909
Phone: (617) 770-4411
Fax: (617) 786-8793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 80109 | Massachusetts |
Profile Details
| NPI number | 1467443861 |
|---|---|
| LBN Legal business name | Mulkern, John P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2010 - about 14 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 | 1467443861 | NPPES |
| Massachusetts | Other | 0100518 | UNITED |
| Massachusetts | Other | 70451 | UNITED |
| Massachusetts | Other | 463720 | UNITED |
| Massachusetts | MEDICAID | 3131602 | UNITED |
| Massachusetts | Other | 80109 | UNITED |
| Massachusetts | Other | J14803 | UNITED |
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