Provider Demographics
NPI:1053141028
Name:MULLER, DONALD JOSEPH
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JOSEPH
Last Name:MULLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 CAMPANELLA CT SW UNIT B
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-1529
Mailing Address - Country:US
Mailing Address - Phone:980-241-1728
Mailing Address - Fax:
Practice Address - Street 1:1312 CAMPANELLA CT SW UNIT B
Practice Address - Street 2:
Practice Address - City:OCEAN ISLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28469-1529
Practice Address - Country:US
Practice Address - Phone:980-241-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374U00000X, 372600000X, 376J00000X
NC479662376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker