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NPI Code Detail

MEDICARE: RYAN J MULLINS CMS

MEDICARE: RYAN J MULLINS CMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.185846OH

General Provider Information

NPI Number : 1285100156
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN J MULLINS CMS
Provider Business Mailing Address
First Line : 401 CENTER ST FRNT B
Second Line :
City : IRONTON
State : OH
Zip : 45638-1519
Country : US
Telephone Number : 740-479-5135
Fax Number :
Provider Business Practice Location Address
First Line : 401 CENTER ST FRNT B
Second Line :
City : IRONTON
State : OH
Zip : 45638-1519
Country : US
Telephone Number : 740-479-5135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2018
Last Update Date : 12/19/2023

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