Mulliken, John B

Mulliken, John B is an individual health care provider with primary practice located at 300 Longwood Ave Childrens Hospital Division Of Plastic Surgery, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mulliken, John B can be contacted via phone (617) 355-7686.

Contact Information

Primary practice address
300 Longwood Ave Childrens Hospital Division Of Plastic Surgery Boston MA 02115-5724
Fax: (617) 738-1657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 29642 Massachusetts

Profile Details

NPI number 1700825536
LBN Legal business name Mulliken, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 17th, 2008 - about 18 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 1700825536 NPPES
Massachusetts MEDICAID 2022958

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