Mulconrey, Daniel Scott

Mulconrey, Daniel Scott is an individual health care provider with primary practice located at 6000 N Allen Rd , Peoria IL 61614-3294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Mulconrey, Daniel Scott can be contacted via phone (309) 691-1400.

Contact Information

Primary practice address
6000 N Allen Rd Peoria IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 689-7081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036118429 Illinois

Profile Details

NPI number 1710914064
LBN Legal business name Mulconrey, Daniel Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Dec 27th, 2024 - about 2 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 1710914064 NPPES
Illinois MEDICAID 036118429

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