Culler, Michael Dean
Culler, Michael Dean is an sole proprietor health care provider with primary practice located at 414 W Lebanon St , Mount Airy NC 27030-2954. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Culler, Michael Dean can be contacted via phone (336) 789-9492.Contact Information
Primary practice address
414 W Lebanon St
Mount Airy NC 27030-2954
Phone: (336) 789-9492
Fax: (336) 789-9587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110004396 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 101079 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 101079 | North Carolina |
Profile Details
| NPI number | 1053424598 |
|---|---|
| LBN Legal business name | Culler, Michael Dean |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Aug 24th, 2022 - about 4 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 | 1053424598 | NPPES |
| Virginia | Other | DN2980 | GROUP PTAN |
| Virginia | MEDICAID | 1053424598 | GROUP PTAN |
| Virginia | Other | 2760137 | GROUP PTAN |
| Virginia | Other | 261083931 | GROUP PTAN |
| Virginia | MEDICAID | 1053424598 | GROUP PTAN |
| Virginia | Other | P01130746 | GROUP PTAN |
| Virginia | Other | 153YK | GROUP PTAN |
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