Cullen, William T

Cullen, William T is an sole proprietor health care provider with primary practice located at 245 Cherry St Se Suite 302, Grand Rapids MI 49503-4607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Cullen, William T can be contacted via phone (616) 459-4131.

Contact Information

Primary practice address
245 Cherry St Se Suite 302 Grand Rapids MI 49503-4607
Phone: (616) 459-4131
Fax: (616) 459-6030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 4301065533 Michigan
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 4301065533 Michigan

Profile Details

NPI number 1518916535
LBN Legal business name Cullen, William T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Oct 3rd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518916535 NPPES
Michigan MEDICAID 4273703

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