Mullen, Carol J

Mullen, Carol J is an individual health care provider with primary practice located at 11101 W Lincoln Ave Rogers Memorial Hospital, West Allis WI 53227-1133. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mullen, Carol J can be contacted via phone (262) 646-1338.

Contact Information

Primary practice address
11101 W Lincoln Ave Rogers Memorial Hospital West Allis WI 53227-1133
Phone: (262) 646-1338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35241 Wisconsin

Profile Details

NPI number 1285646851
LBN Legal business name Mullen, Carol J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1285646851 NPPES
Wisconsin MEDICAID 30066600

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