Provider Demographics
NPI:1306940416
Name:MULVANEY, MICHAEL CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHRISTOPHER
Last Name:MULVANEY
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 1:8536 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6436
Mailing Address - Country:US
Mailing Address - Phone:804-740-9300
Mailing Address - Fax:804-740-9300
Practice Address - Street 1:8536 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6436
Practice Address - Country:US
Practice Address - Phone:804-740-9300
Practice Address - Fax:804-740-9300
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA0104556046111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
C10421Medicare UPIN
00X636S01Medicare PIN