Mullen, Owen

Mullen, Owen is an individual health care provider with primary practice located at 1635 Boling St , Jackson MS 39213-4418. She recently has only one registered license in Speech, Language and Hearing Service Providers / Specialist/Technologist, which is considered as her primary health care specialty. Mullen, Owen can be contacted via phone (601) 366-0123.

Contact Information

Primary practice address
1635 Boling St Jackson MS 39213-4418
Phone: (601) 366-0123
Fax: (601) 366-0649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X S2779 Mississippi

Profile Details

NPI number 1326199787
LBN Legal business name Mullen, Owen
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Apr 2nd, 2008 - about 16 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 1326199787 NPPES
Mississippi MEDICAID 06081560
Mississippi MEDICAID 03921787

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