MR. DOUGLAS WAYNE MULLIN


Address: 3802 Amelia Ave, Suite B, Lafayette, IN 47905-5772
Phone: 7654047285

MR. DOUGLAS WAYNE MULLIN (NPI# 1316051006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316051006
Entity Type Individual
Full Name MR. DOUGLAS WAYNE MULLIN
Credential C.O.
Practice Address 3802 Amelia Ave
Suite B
Lafayette
IN 47905-5772
Practice Telephone 7654047285
Mailing Telephone 7654047285
Enumeration Date 2006-08-18
Last Update Date 2007-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
15097 IN Other Service Providers

Office Location

Street Address 3802 AMELIA AVE
SUITE B
City LAFAYETTE
State IN
Zip Code 47905-5772

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427055201 Midwest Brace and Limb Inc Durable Medical Equipment & Medical Supplies 3802 Amelia Ave, Suite B, Lafayette, IN 47905-5772 2005-07-07
1801078274 Midwest Brace & Limb Inc Durable Medical Equipment & Medical Supplies 3802 Amelia Ave, Suite B, Lafayette, IN 47905-5772 2007-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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1831714153 Leslie Boyd Specialist 6137 Crawfordsville Rd Ste 143, Indianapolis, IN 46224-3731 2020-06-11
1528681152 Taqusia Sharkey Specialist 8429 Castleton Corner Dr, Indianapolis, IN 46250-3580 2020-05-18
1154971778 Laquita Barnes Specialist 8319 Michigan Rd, Indianapolis, IN 46268-3635 2019-09-16
1972167344 Tanika Mcbee Specialist 1447 Sherman St, Hammond, IN 46320-2208 2019-04-30
1619454493 Andrea Smith Specialist 3619 N Arlington Ave, Indianapolis, IN 46218-1806 2018-07-24
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1336516426 Brittiny Clinton Specialist 6520 E 82nd St, Suite 212, Indianapolis, IN 46250-3600 2015-08-25
1487883641 Brenda L Buehler Specialist 100 W 28th St, Jasper, IN 47546-1415 2009-07-09
1194340554 Complete Beauty Services, LLC Specialist 6137 Crawfordsville Rd Ste 143, Indianapolis, IN 46224-3731 2020-06-11
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Competitor

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City LAFAYETTE
Zip Code 47905

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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