Mulder, John

Mulder, John is an individual health care provider with primary practice located at 551 Linn St , Allegan MI 49010-1595. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mulder, John can be contacted via phone (269) 686-5877.

Contact Information

Primary practice address
551 Linn St Allegan MI 49010-1595
Fax: (269) 686-5896
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002434 Michigan

Profile Details

NPI number 1053302364
LBN Legal business name Mulder, John
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Nov 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053302364 NPPES
Michigan Other JM002434 STATE LICENSE #

Popular Providers