National Provider Identifier Database

LORETTA A MULLALLY, MD – NPI #1467414227
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

LORETTA A MULLALLY, MD
5525 E PECK RD
CROSWELL, MI48422
Phone: 810-679-2950
Fax: 810-679-2960
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for LORETTA A MULLALLY

NPI Number 1467414227
Credentials MD
Entity Individual
Enumeration date 04/05/2006
Last updated 06/09/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: LM051024
  • MI Medicaid: 2684076
  • Other: 0762000 BCBSM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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