Mulder, David G
Mulder, David G is an individual health care provider with primary practice located at 100 Brooksby Village Drive Brooksby Medical Clinic, Peabody MA 01960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mulder, David G can be contacted via phone (978) 536-7850.Contact Information
Primary practice address
100 Brooksby Village Drive Brooksby Medical Clinic
Peabody MA 01960
Phone: (978) 536-7850
Fax: (877) 280-9727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3466 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 231400 | Massachusetts |
Profile Details
| NPI number | 1174505507 |
|---|---|
| LBN Legal business name | Mulder, David G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Feb 26th, 2026 - about 8 months 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 | 1174505507 | NPPES |
| Iowa | Other | 31343 | WELLMARK BCBS |
| Iowa | MEDICAID | 0278101 | WELLMARK BCBS |
| Iowa | MEDICAID | M20932 | WELLMARK BCBS |
| Iowa | Other | 1174505507 | WELLMARK BCBS |
| Iowa | Other | 04-40166 | WELLMARK BCBS |
| Iowa | Other | 522239464 | WELLMARK BCBS |
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