Cullen, Sally J.
Cullen, Sally J. is an individual health care provider with primary practice located at 2155 Iron Point Rd , Folsom CA 95630-8707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cullen, Sally J. can be contacted via phone (916) 817-5000.Contact Information
Primary practice address
2155 Iron Point Rd
Folsom CA 95630-8707
Phone: (916) 817-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G67374 | California |
Profile Details
| NPI number | 1164500849 |
|---|---|
| LBN Legal business name | Cullen, Sally J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164500849 | NPPES |
| California | MEDICAID | 00G673740 |
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