Mullikin, Shane Dale

Mullikin, Shane Dale is an individual health care provider with primary practice located at 17800 Us Highway 18 Suite D, Apple Valley CA 92307-1221. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Mullikin, Shane Dale can be contacted via phone (760) 946-8200.

Contact Information

Primary practice address
17800 Us Highway 18 Suite D Apple Valley CA 92307-1221
Phone: (760) 946-8200
Fax: (760) 242-1425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1669816476
LBN Legal business name Mullikin, Shane Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Jul 28th, 2015 - about 9 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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