| Anthony & Denise Mullenhour | |
|
3307 W 96th St Indianapolis IN 46268-1106 | |
| (317) 441-2131 | |
| (317) 876-3600 |
| Full Name | Anthony & Denise Mullenhour |
|---|---|
| Speciality | Social Worker |
| Location | 3307 W 96th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Denise Mullenhour (PARTNER) |
| Authorized Official Contact | 3174412131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony & Denise Mullenhour 9256 Andiron Dr Indianapolis IN 46250-1486 Ph: (317) 441-2131 | Anthony & Denise Mullenhour 3307 W 96th St Indianapolis IN 46268-1106 Ph: (317) 441-2131 |
| NPI Number | 1275935447 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 4688895873 |
|---|---|
| Medicare Enrollment ID | O20141103000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275935447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 24005898A (Indiana) | Primary |
| Provider Name | Denise M Mullenhour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609106178 PECOS PAC ID: 2466581582 Enrollment ID: I20100528000409 |
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