Mulligan, Michael E

Mulligan, Michael E is an individual health care provider with primary practice located at 3 Junction Dr W , Glen Carbon IL 62034-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mulligan, Michael E can be contacted via phone (618) 288-5088.

Contact Information

Primary practice address
3 Junction Dr W Glen Carbon IL 62034-2916
Phone: (618) 288-5088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036078912 Illinois

Profile Details

NPI number 1417953316
LBN Legal business name Mulligan, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated May 18th, 2011 - 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 1417953316 NPPES
Other 102922 HEALTHLINK
Other 4622029 HEALTHLINK
Other 6015373 HEALTHLINK
MEDICAID 036078712 HEALTHLINK
Other 080021119 HEALTHLINK
Other 4322029 HEALTHLINK
Other N4862 HEALTHLINK

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