Mullersman, Jerald

Mullersman, Jerald is an individual health care provider with primary practice located at Building 119 , Mountain Home TN 37684-0699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology, which is considered as his primary health care specialty. Mullersman, Jerald can be contacted via phone (423) 439-7029.

Contact Information

Primary practice address
Building 119 Mountain Home TN 37684-0699
Phone: (423) 439-7029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X MD24976 Tennessee

Profile Details

NPI number 1245415033
LBN Legal business name Mullersman, Jerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Oct 25th, 2012 - about 13 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 1245415033 NPPES
Tennessee Other 3401897 LAB MEDICARE PIN

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