Mulloy, Kevin Daniel

Mulloy, Kevin Daniel is an sole proprietor health care provider with primary practice located at 108 W Market St , Bloomington IL 61701-3918. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mulloy, Kevin Daniel can be contacted via phone (309) 827-5351.

Contact Information

Primary practice address
108 W Market St Bloomington IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1134224777
LBN Legal business name Mulloy, Kevin Daniel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Sep 26th, 2007 - about 19 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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