Mullis, Brian Heath
Mullis, Brian Heath is an individual health care provider with primary practice located at 720 Eskenazi Avenue 5Th 3Rd Bldg, Indianapolis IN 46202-5116. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mullis, Brian Heath can be contacted via phone (317) 630-7889.Contact Information
Primary practice address
720 Eskenazi Avenue 5Th 3Rd Bldg
Indianapolis IN 46202-5116
Phone: (317) 630-7889
Fax: (317) 630-6935
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ME 92245 | Florida |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01061878A | Indiana |
Profile Details
NPI number | 1598738437 |
---|---|
LBN Legal business name | Mullis, Brian Heath |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2006 |
Last updated | Apr 18th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598738437 | NPPES |
Indiana | MEDICAID | 200823960 | |
Indiana | MEDICAID | 272599100 |
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