Mccullough, Connie

Mccullough, Connie is an individual health care provider with primary practice located at 210 Hoover St , Jefferson City MO 65109-0800. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mccullough, Connie can be contacted via phone (573) 632-4321.

Contact Information

Primary practice address
210 Hoover St Jefferson City MO 65109-0800
Phone: (573) 632-4321
Fax: (573) 632-4324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 030120 Missouri

Profile Details

NPI number 1528187952
LBN Legal business name Mccullough, Connie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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