Mullen, Shaughnessy V

Mullen, Shaughnessy V is an individual health care provider with primary practice located at 9263 Medical Plaza Dr Ste E, Charleston SC 29406-7112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mullen, Shaughnessy V can be contacted via phone (843) 572-1228.

Contact Information

Primary practice address
9263 Medical Plaza Dr Ste E Charleston SC 29406-7112
Phone: (843) 572-1228
Fax: (877) 561-7564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 158741 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 15874 South Carolina

Profile Details

NPI number 1215905054
LBN Legal business name Mullen, Shaughnessy V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 21st, 2016 - about 10 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 1215905054 NPPES
South Carolina MEDICAID 158741

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