Mulligan, Kathleen A
Mulligan, Kathleen A is an individual health care provider with primary practice located at 1991 Crocker Rd Suite 310, Westlake OH 44145-6969. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mulligan, Kathleen A can be contacted via phone (440) 617-9114.Contact Information
Primary practice address
1991 Crocker Rd Suite 310
Westlake OH 44145-6969
Phone: (440) 617-9114
Fax: (440) 617-9058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35066003 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 35066003 | Ohio |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 35066003 | Ohio |
Profile Details
| NPI number | 1659320398 |
|---|---|
| LBN Legal business name | Mulligan, Kathleen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jun 24th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659320398 | NPPES |
| Ohio | Other | 000000254178 | ANTHEM BC/BS |
| Ohio | Other | 070017696 | ANTHEM BC/BS |
| Ohio | MEDICAID | 0839961 | ANTHEM BC/BS |
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