Mullen, Daniel Joseph

Mullen, Daniel Joseph is an individual health care provider with primary practice located at 4852 E Baseline Rd #C-107, Mesa AZ 85206-4627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mullen, Daniel Joseph can be contacted via phone (480) 834-7000.

Contact Information

Primary practice address
4852 E Baseline Rd #C-107 Mesa AZ 85206-4627
Phone: (480) 834-7000
Fax: (480) 834-7002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 30294 Arizona

Profile Details

NPI number 1891736435
LBN Legal business name Mullen, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 21st, 2016 - about 9 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 1891736435 NPPES
Arizona MEDICAID 699522
Arizona Other 3Z3972

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