Mueller, Mark Allen
Mueller, Mark Allen is an individual health care provider with primary practice located at 12800 Mississippi Pkwy Ste C100 , Crown Point IN 46307-6900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mueller, Mark Allen can be contacted via phone (219) 662-5585.Contact Information
Primary practice address
12800 Mississippi Pkwy Ste C100
Crown Point IN 46307-6900
Phone: (219) 662-5585
Fax: (219) 662-5586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01060853A | Indiana |
Profile Details
| NPI number | 1043355407 |
|---|---|
| LBN Legal business name | Mueller, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Oct 31st, 2018 - about 8 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 | 1043355407 | NPPES |
| Indiana | MEDICAID | 200523220A |
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