Mullan, Sara H.

Mullan, Sara H. is an individual health care provider with primary practice located at 444 Montgomery St , Chicopee MA 01020-1969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mullan, Sara H. can be contacted via phone (413) 594-3111.

Contact Information

Primary practice address
444 Montgomery St Chicopee MA 01020-1969
Fax: (413) 789-8047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47987 Massachusetts

Profile Details

NPI number 1164486221
LBN Legal business name Mullan, Sara H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 16th, 2011 - about 14 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 1164486221 NPPES
Massachusetts MEDICAID 6176739

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