Mccullough, Colleen

Mccullough, Colleen is an sole proprietor health care provider with primary practice located at 11873 63Rd Pl N , Maple Grove MN 55369-6152. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Mccullough, Colleen can be contacted via phone (763) 227-9791.

Contact Information

Primary practice address
11873 63Rd Pl N Maple Grove MN 55369-6152
Phone: (763) 227-9791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104204726
LBN Legal business name Mccullough, Colleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2015
Last updated May 14th, 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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