Mcmullen, Timothy Richard
Mcmullen, Timothy Richard is an sole proprietor health care provider with primary practice located at 1508 Missouri Route A Suite A, Liberty MO 64068-7129. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mcmullen, Timothy Richard can be contacted via phone (816) 781-1010.Contact Information
Primary practice address
1508 Missouri Route A Suite A
Liberty MO 64068-7129
Phone: (816) 781-1010
Fax: (816) 415-8487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 006657 | Missouri |
Profile Details
| NPI number | 1558552216 |
|---|---|
| LBN Legal business name | Mcmullen, Timothy Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Aug 7th, 2007 - about 19 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 | 1558552216 | NPPES |
| Missouri | Other | U70653 | HUMANA |
| Missouri | Other | 25314026 | HUMANA |
| Missouri | Other | 25314026 | HUMANA |
| Missouri | Other | 7070138 | HUMANA |
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