Mullenbach, Brock B
Mullenbach, Brock B is an individual health care provider with primary practice located at 6712 N Convent St , Bourbonnais IL 60914-1528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mullenbach, Brock B can be contacted via phone (815) 605-8403.Contact Information
Primary practice address
6712 N Convent St
Bourbonnais IL 60914-1528
Phone: (815) 605-8403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036.164439 | Illinois |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 036.164439 | Illinois |
Profile Details
| NPI number | 1841750924 |
|---|---|
| LBN Legal business name | Mullenbach, Brock B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2019 |
| Last updated | Jul 9th, 2024 - about 2 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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