Mulligan, John Simeon

Mulligan, John Simeon is an individual health care provider with primary practice located at 2200 E Parrish Ave Building D, Owensboro KY 42303-1449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mulligan, John Simeon can be contacted via phone (270) 926-8171.

Contact Information

Primary practice address
2200 E Parrish Ave Building D Owensboro KY 42303-1449
Phone: (270) 926-8171
Fax: (270) 926-4574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25712 Kentucky

Profile Details

NPI number 1427056241
LBN Legal business name Mulligan, John Simeon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 23rd, 2016 - about 8 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 1427056241 NPPES
Indiana MEDICAID 200000080
Indiana MEDICAID 6425712400

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