Mack, Thomas Mcculloch

Mack, Thomas Mcculloch is an sole proprietor health care provider with primary practice located at 1441 Eastlake Ave Rm 4453, Los Angeles CA 90089-0112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Mack, Thomas Mcculloch can be contacted via phone (323) 865-0445.

Contact Information

Primary practice address
1441 Eastlake Ave Rm 4453 Los Angeles CA 90089-0112
Phone: (323) 865-0445
Fax: (323) 865-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G11518 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G11518 California

Profile Details

NPI number 1386912129
LBN Legal business name Mack, Thomas Mcculloch
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - about 15 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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