Mullen, Matthew
Mullen, Matthew is an individual health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mullen, Matthew can be contacted via phone (530) 543-5623.Contact Information
Primary practice address
2201 South Ave
South Lake Tahoe CA 96150-7025
Phone: (530) 543-5623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95017939 | California |
Profile Details
| NPI number | 1780358929 |
|---|---|
| LBN Legal business name | Mullen, Matthew |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2021 |
| Last updated | Aug 2nd, 2021 - about 3 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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