Mullen, Connie

Mullen, Connie is an sole proprietor health care provider with primary practice located at 7950 S Military Trl 201, Lake Worth FL 33463-8162. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Mullen, Connie can be contacted via phone (561) 330-0993.

Contact Information

Primary practice address
7950 S Military Trl 201 Lake Worth FL 33463-8162
Fax: (561) 594-1807
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW45 Florida

Profile Details

NPI number 1316941891
LBN Legal business name Mullen, Connie
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jun 6th, 2013 - about 11 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 1316941891 NPPES
Florida MEDICAID 340011500

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