Mullen, Patrick William
Mullen, Patrick William is an sole proprietor health care provider with primary practice located at 6335 N Fresno St #208, Fresno CA 93710-5272. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mullen, Patrick William can be contacted via phone (559) 435-0220.Contact Information
Primary practice address
6335 N Fresno St #208
Fresno CA 93710-5272
Phone: (559) 435-0220
Fax: (559) 435-9160
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E3202 | California |
Profile Details
NPI number | 1194838573 |
---|---|
LBN Legal business name | Mullen, Patrick William |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 17th, 2006 |
Last updated | Jun 4th, 2008 - about 17 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 | 1194838573 | NPPES |
California | Other | E3202 | CALIFORNIA LICENSE |
California | Other | 328751600 | CALIFORNIA LICENSE |
California | MEDICAID | 000E32020 | CALIFORNIA LICENSE |
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