Mullen, Jana Raquel

Mullen, Jana Raquel is an individual health care provider with primary practice located at 43-2026 Paauilo Mauka Rd , Paauilo HI 96776. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mullen, Jana Raquel can be contacted via phone (808) 776-1704.

Contact Information

Primary practice address
43-2026 Paauilo Mauka Rd Paauilo HI 96776
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60665668 Washington

Profile Details

NPI number 1043291115
LBN Legal business name Mullen, Jana Raquel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 28th, 2023 - about 3 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 1043291115 NPPES
Washington MEDICAID 1043291115
Washington Other P01702028

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