Mccullough, Clinton
Mccullough, Clinton is an individual health care provider with primary practice located at 435 Phalen Blvd , Saint Paul MN 55130-5302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mccullough, Clinton can be contacted via phone (651) 254-8368.Contact Information
Primary practice address
435 Phalen Blvd
Saint Paul MN 55130-5302
Phone: (651) 254-8368
Fax: (651) 254-8361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2331 | Minnesota |
Profile Details
| NPI number | 1487030490 |
|---|---|
| LBN Legal business name | Mccullough, Clinton |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2015 |
| Last updated | Aug 3rd, 2015 - about 11 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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