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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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