Charles N. Mullican
Internist Hospice and Palliative Medicine
711 N 36th St
Saint Joseph
, Missouri 64506-2977
Charles N. Mullican
Internist Hospice and Palliative Medicine
711 N 36th St
Saint Joseph
, Missouri 64506-2977
(816) 271-7672
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Charles N. Mullican
- 711 N 36th St
- Saint Joseph, MO
- Zip : 64506-2977
- Fax : (816) 271-7672
- Phone : (816) 271-7190
Second Address
- Charles N. Mullican
- 711 N 36th St
- Saint Joseph, MO
- Zip : 64506-2977
- Fax : (816) 271-7672
- Phone : (816) 271-7190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2010020683 | MO |
| N | 111NI0900X | Internist | 2010020683 | MO |
| Y | 207RH0002X | Hospice and Palliative Medicine | 2010020683 | MO |
National Provider Identifier
| NPI | 1275847642 |
|---|---|
| Provider Name | Charles N. Mullican |
| First Address | Saint Joseph, MO 64506-2977 |
| Second Address | Saint Joseph, MO 64506-2977 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2010 |
| Last Update Date | 16/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080111091 | RR MEDICARE (01) | MO |
| 1275847642 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.