Mullen, Patrick James

Mullen, Patrick James is an individual health care provider with primary practice located at 2121 W Ironwood Center Dr , Coeur D Alene ID 83814-2639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Mullen, Patrick James can be contacted via phone (208) 625-4680.

Contact Information

Primary practice address
2121 W Ironwood Center Dr Coeur D Alene ID 83814-2639
Phone: (208) 625-4680
Fax: (208) 625-4681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X M8506 Idaho
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X M-8506 Idaho

Profile Details

NPI number 1629069885
LBN Legal business name Mullen, Patrick James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629069885 NPPES
Idaho MEDICAID 806468700

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