Provider Demographics
NPI:1629437975
Name:MULLIN CHIROPRACTIC
Entity Type:Organization
Organization Name:MULLIN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MULLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-271-0033
Mailing Address - Street 1:2201 W 1ST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2484
Mailing Address - Country:US
Mailing Address - Phone:515-964-8547
Mailing Address - Fax:
Practice Address - Street 1:2201 W 1ST ST STE 3
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2484
Practice Address - Country:US
Practice Address - Phone:515-964-8547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081227261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center