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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396784377 | NPPES |
| Other | 114254 | BLUE CROSS/BLUE SHIELD | |
| MEDICAID | 206962813 | BLUE CROSS/BLUE SHIELD |
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