Mull, Michael
Mull, Michael is an individual health care provider with primary practice located at 315 W Old Key Dr , Peru IN 46970-9057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mull, Michael can be contacted via phone (765) 475-6963.Contact Information
Primary practice address
315 W Old Key Dr
Peru IN 46970-9057
Phone: (765) 475-6963
Fax: (765) 475-2833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01040504 | Indiana |
Profile Details
| NPI number | 1134206014 |
|---|---|
| LBN Legal business name | Mull, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Mar 24th, 2021 - about 4 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 | 1134206014 | NPPES |
| Indiana | MEDICAID | 100432790 |
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