Mulligan, Thomas

Mulligan, Thomas is an individual health care provider with primary practice located at 303 E Matthews Ave Ste 202 , Jonesboro AR 72401-3120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Mulligan, Thomas can be contacted via phone (870) 207-7555.

Contact Information

Primary practice address
303 E Matthews Ave Ste 202 Jonesboro AR 72401-3120
Phone: (870) 207-7555
Fax: (870) 336-5083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME93118 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X E5074 Arkansas

Profile Details

NPI number 1376583328
LBN Legal business name Mulligan, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 12th, 2014 - about 10 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 1376583328 NPPES
Florida MEDICAID 272704800

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