Mcnulty, James Alan

Mcnulty, James Alan is an sole proprietor health care provider with primary practice located at 4642 Oberlin Ave Suite 101, Lorain OH 44053-3164. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcnulty, James Alan can be contacted via phone (440) 282-2510.

Contact Information

Primary practice address
4642 Oberlin Ave Suite 101 Lorain OH 44053-3164
Fax: (440) 282-2510
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13940 Ohio

Profile Details

NPI number 1902943632
LBN Legal business name Mcnulty, James Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902943632 NPPES
Ohio MEDICAID 0210748

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