Mullen, William
Mullen, William is an individual health care provider with primary practice located at 20 Hospital Dr , Logan WV 25601-3452. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mullen, William can be contacted via phone (304) 831-1477.Contact Information
Primary practice address
20 Hospital Dr
Logan WV 25601-3452
Phone: (304) 831-1477
Fax: (304) 831-1596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1312 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1312 | West Virginia |
Profile Details
| NPI number | 1760446686 |
|---|---|
| LBN Legal business name | Mullen, William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Aug 24th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760446686 | NPPES |
| West Virginia | MEDICAID | 0053053000 |
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