Provider Demographics
NPI:1679947444
Name:MULLEN, RHEY CARL (DC)
Entity type:Individual
Prefix:DR
First Name:RHEY
Middle Name:CARL
Last Name:MULLEN
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 1:1203 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2221
Mailing Address - Country:US
Mailing Address - Phone:724-289-0046
Mailing Address - Fax:724-520-1288
Practice Address - Street 1:1203 SPRING ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2221
Practice Address - Country:US
Practice Address - Phone:724-289-0046
Practice Address - Fax:724-520-1288
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004600L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor