Mullinax, Deborah Lynn

Mullinax, Deborah Lynn is an individual health care provider with primary practice located at 916 Jackson Ave , Sheridan WY 82801-2708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mullinax, Deborah Lynn can be contacted via phone (307) 672-6451.

Contact Information

Primary practice address
916 Jackson Ave Sheridan WY 82801-2708
Phone: (307) 672-6451
Fax: (307) 672-1704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 344 Wyoming

Profile Details

NPI number 1821069964
LBN Legal business name Mullinax, Deborah Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 12th, 2021 - about 3 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 1821069964 NPPES
Wyoming Other 00941001 BCBS GROUP
Wyoming MEDICAID 830245718-13 BCBS GROUP
Wyoming MEDICAID 7705130 BCBS GROUP
Wyoming MEDICAID 000405665 BCBS GROUP
Wyoming Other 313672 BCBS GROUP
Wyoming MEDICAID 100048900 BCBS GROUP

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