Mullins, John Randolph

Mullins, John Randolph is an individual health care provider with primary practice located at 3800 S National Ave , Springfield MO 65807-5209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mullins, John Randolph can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3800 S National Ave Springfield MO 65807-5209
Phone: (417) 875-3000
Fax: (417) 875-3737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 114866 Missouri

Profile Details

NPI number 1396784377
LBN Legal business name Mullins, John Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 9th, 2024 - about 5 months 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 1396784377 NPPES
Other 114254 BLUE CROSS/BLUE SHIELD
MEDICAID 206962813 BLUE CROSS/BLUE SHIELD

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