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
Phone: (561) 330-0993
Fax: (561) 594-1807
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316941891 | NPPES |
| Florida | MEDICAID | 340011500 |
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