Mullen, William R

Mullen, William R is an individual health care provider with primary practice located at 718 Smyth Rd , Manchester NH 03104-4098. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mullen, William R can be contacted via phone (603) 624-4366.

Contact Information

Primary practice address
718 Smyth Rd Manchester NH 03104-4098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0507 New Hampshire

Profile Details

NPI number 1144255373
LBN Legal business name Mullen, William R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 10th, 2020 - about 5 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 1144255373 NPPES
New Hampshire Other 1861558645 NSC PROVIDER LOCATION #
New Hampshire Other 1932256914 NSC PROVIDER LOCATION #
New Hampshire Other 1841320207 NSC PROVIDER LOCATION #
New Hampshire Other 1922164797 NSC PROVIDER LOCATION #
New Hampshire Other 1881772242 NSC PROVIDER LOCATION #
New Hampshire MEDICAID 30333016 NSC PROVIDER LOCATION #
New Hampshire Other 1801952692 NSC PROVIDER LOCATION #

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