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:
Health care specialties
Specialty | Code | License # | 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 8 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 | 1891736435 | NPPES |
Arizona | MEDICAID | 699522 | |
Arizona | Other | 3Z3972 |
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