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:
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Health care specialties

SpecialtyCodeLicense #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 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 1194838573 NPPES
California Other E3202 CALIFORNIA LICENSE
California Other 328751600 CALIFORNIA LICENSE
California MEDICAID 000E32020 CALIFORNIA LICENSE

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