Mullan, Robert B

Mullan, Robert B is an individual health care provider with primary practice located at 2445 S Telshore Blvd , Las Cruces NM 88011. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mullan, Robert B can be contacted via phone (575) 522-2776.

Contact Information

Primary practice address
2445 S Telshore Blvd Las Cruces NM 88011
Phone: (575) 522-2776
Fax: (575) 522-2271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 283 New Mexico

Profile Details

NPI number 1033105812
LBN Legal business name Mullan, Robert B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 25th, 2019 - about 6 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 1033105812 NPPES
New Mexico Other NM015A04 BC/BS
New Mexico MEDICAID 47183829 BC/BS
New Mexico Other 74864 BC/BS
New Mexico Other P00062140 BC/BS

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