Mcmullen, Michael

Mcmullen, Michael is an individual health care provider with primary practice located at 150 S Warner Rd Suite 160, King Of Prussia PA 19406-2826. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mcmullen, Michael can be contacted via phone (610) 254-9500.

Contact Information

Primary practice address
150 S Warner Rd Suite 160 King Of Prussia PA 19406-2826
Phone: (610) 254-9500
Fax: (610) 254-9501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN517915L Pennsylvania

Profile Details

NPI number 1780669408
LBN Legal business name Mcmullen, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated May 27th, 2008 - about 17 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 1780669408 NPPES
Pennsylvania MEDICAID 001967569-0001

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