Provider Demographics
NPI:1912014580
Name:MULVIHILL, PAUL J (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:MULVIHILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 UNIVERSITY EXEC PARK DR
Mailing Address - Street 2:SUITE 180
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-3380
Mailing Address - Country:US
Mailing Address - Phone:704-547-7200
Mailing Address - Fax:704-547-7333
Practice Address - Street 1:8220 UNIVERSITY EXEC PARK DR
Practice Address - Street 2:SUITE 180
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3380
Practice Address - Country:US
Practice Address - Phone:704-547-7200
Practice Address - Fax:704-547-7333
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1118OtherNC LIC
085NWOtherBCBS
NC89085NWMedicaid
085NWOtherBCBS
1118OtherNC LIC