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
Fax: (304) 831-1596
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760446686 NPPES
West Virginia MEDICAID 0053053000

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