Cullom, Mary Ellen

Cullom, Mary Ellen is an individual health care provider with primary practice located at 11800 Rock Landing Dr , Newport News VA 23606-4206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Cullom, Mary Ellen can be contacted via phone (757) 643-8800.

Contact Information

Primary practice address
11800 Rock Landing Dr Newport News VA 23606-4206
Phone: (757) 643-8800
Fax: (757) 643-8919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101049366 Virginia

Profile Details

NPI number 1275503864
LBN Legal business name Cullom, Mary Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 4th, 2013 - about 13 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 1275503864 NPPES
Virginia MEDICAID 1275503864

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