Mullins, Benny Carroll

Mullins, Benny Carroll is an sole proprietor health care provider with primary practice located at 340 Bagley Cir , Marion VA 24354-3126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mullins, Benny Carroll can be contacted via phone (276) 783-1201.

Contact Information

Primary practice address
340 Bagley Cir Marion VA 24354-3126
Phone: (276) 783-1201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101025318 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101025318 Virginia

Profile Details

NPI number 1134141401
LBN Legal business name Mullins, Benny Carroll
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Mar 25th, 2011 - about 15 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 1134141401 NPPES
Virginia MEDICAID 1134141401
Virginia MEDICAID 64919186
Virginia Other EIN CO2259

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