Mullin, Jonathan Edward

Mullin, Jonathan Edward is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Newborn Medicine, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mullin, Jonathan Edward can be contacted via phone (314) 454-2683.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Newborn Medicine Saint Louis MO 63110-1002
Phone: (314) 454-2683
Fax: (314) 454-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2017015570 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 2017015570 Missouri

Profile Details

NPI number 1265751317
LBN Legal business name Mullin, Jonathan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2010
Last updated Apr 25th, 2024 - about 2 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 1265751317 NPPES
Missouri MEDICAID 200045022

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