Mullen, Ellen Shea

Mullen, Ellen Shea is an individual health care provider with primary practice located at 2312 E Main St Suite B, New Iberia LA 70560-4064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mullen, Ellen Shea can be contacted via phone (337) 364-0938.

Contact Information

Primary practice address
2312 E Main St Suite B New Iberia LA 70560-4064
Phone: (337) 364-0938
Fax: (337) 359-9024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 021129 Louisiana

Profile Details

NPI number 1174515332
LBN Legal business name Mullen, Ellen Shea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 25th, 2013 - about 12 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 1174515332 NPPES
Louisiana MEDICAID 1466352
Louisiana Other 021129

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