Mullen, Stephen Eli

Mullen, Stephen Eli is an individual health care provider with primary practice located at 79 Maple Dr , Platte City MO 64079-9640. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mullen, Stephen Eli can be contacted via phone (816) 858-3954.

Contact Information

Primary practice address
79 Maple Dr Platte City MO 64079-9640
Phone: (816) 858-3954
Fax: (816) 858-3954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2004018249 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 046009712 Illinois

Profile Details

NPI number 1962422519
LBN Legal business name Mullen, Stephen Eli
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962422519 NPPES
Missouri MEDICAID 319083408

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