Mcmullen, Michael Patrick
Mcmullen, Michael Patrick is an sole proprietor health care provider with primary practice located at 505 Beahan Rd , Rochester NY 14624-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcmullen, Michael Patrick can be contacted via phone (585) 426-1470.Contact Information
Primary practice address
505 Beahan Rd
Rochester NY 14624-3403
Phone: (585) 426-1470
Fax: (585) 426-6510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 163485 | New York |
Profile Details
| NPI number | 1073575429 |
|---|---|
| LBN Legal business name | Mcmullen, Michael Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 20th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073575429 | NPPES |
| New York | Other | 1573 | BLUE SHIELD PROVIDER # |
| New York | MEDICAID | 01089129 | BLUE SHIELD PROVIDER # |
| New York | Other | 5008322 | BLUE SHIELD PROVIDER # |
| New York | Other | BF101110 | BLUE SHIELD PROVIDER # |
| New York | Other | P010163485 | BLUE SHIELD PROVIDER # |
| New York | Other | MM31444B | BLUE SHIELD PROVIDER # |
| New York | Other | 000911507002 | BLUE SHIELD PROVIDER # |
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