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NPI Code Detail

MEDICARE: MICHEAL D MULLINS

MEDICARE:   MICHEAL D MULLINS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1417218546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEAL D MULLINS
Provider Business Mailing Address
First Line : 1705 RICHMOND RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-3211
Country : US
Telephone Number : 614-404-3174
Fax Number :
Provider Business Practice Location Address
First Line : 1705 RICHMOND RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-3211
Country : US
Telephone Number : 614-404-3174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 06/05/2012

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Directions to “ MICHEAL D MULLINS ” Practice Location

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