Ivan Mulligan is a Orthopedic in Johnstown, Pennsylvania. Ivan Mulligan practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Ivan Mulligan is 1851485072. The last update date is 2007-08-16.
Ivan Mulligan's current location address is 515 State Street, Johnstown, Pennsylvania. You can contact this provider via phone number 8142540086. The mailing address for Ivan Mulligan is 515 State Street, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Mulligan |
|---|---|
| Address | 515 State Street, Johnstown, Pennsylvania |
| Phone Number | 8142540086 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, SCS, A |
NPI Number Detail
| NPI Number | 1851485072 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 515 State Street |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 159042646 |
| Phone Number | 8142540086 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PA008858-L |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique 10-digit identification code issued to Ivan Mulligan by the Centers for Medicare & Medicaid Services?
The Ivan Mulligan has been assigned the NPI (National Provider Identifier) 1851485072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Ivan Mulligan's facilities are geographically located?
The facilities of Ivan Mulligan are physically situated at the following location: 515 State Street, Johnstown, PA, 159042646.
What is Ivan Mulligan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ivan Mulligan is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851485072 to Ivan Mulligan?
The Ivan Mulligan received its 1851485072 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the Ivan Mulligan's details last updated?
The information pertaining to the Ivan Mulligan, including its address, specialty, and other details, was most recently updated on 2007-08-16.