Earl James Mulqueen

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Practice address

701 Century Ave
Antigo, WI 54409-2473

Phone

(715) 216-9646

NPI assigned

Sep 25, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwoods Mobility Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Antigo, WI
  • NPI 1154144178
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1689491185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CENTURY AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092473",
            "telephone_number": "715-216-9646",
            "fax_number": "715-350-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CENTURY AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092473",
            "telephone_number": "715-216-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULQUEEN",
        "first_name": "EARL",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Ann Miller, PTA
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• North Central Caravans, L.L.C.
• Northland Hearing Centers, Inc. (Hearing Advantage)

• Contractor in Antigo, WI
• Providers in Antigo, WI by specialty
• Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.