Mulligan, William L

Mulligan, William L is an individual health care provider with primary practice located at 1403 Greenbrier Pkwy Suite 215, Chesapeake VA 23320-0614. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mulligan, William L can be contacted via phone (757) 410-0700.

Contact Information

Primary practice address
1403 Greenbrier Pkwy Suite 215 Chesapeake VA 23320-0614
Phone: (757) 410-0700
Fax: (757) 222-3384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000729 Virginia

Profile Details

NPI number 1063406478
LBN Legal business name Mulligan, William L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 7th, 2012 - about 13 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 1063406478 NPPES
Virginia Other 172017, 267207 ANTHEM, BC/BS
Virginia Other 2149701 ANTHEM, BC/BS
Virginia Other 54-1088477 ANTHEM, BC/BS
Virginia Other 54-1088477 ANTHEM, BC/BS
Virginia Other 54-1088477 ANTHEM, BC/BS
Virginia Other 031538 ANTHEM, BC/BS
Virginia Other 089211, 37077 ANTHEM, BC/BS
Virginia Other 11240084 ANTHEM, BC/BS
Virginia Other 2166701 ANTHEM, BC/BS

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