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Contact Information

CHARLES C MULLEN I, LMT
979 N QUANTICO ST
ARLINGTON, VA22205
 Phone: 571-598-0922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for CHARLES C MULLEN I · (Male)

NPI Number 1326771403
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 07/06/2022
Last updated 07/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0019012285
Hospital affiliation(s) Not Available
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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