Mccullough, Deanna C
Mccullough, Deanna C is an sole proprietor health care provider with primary practice located at 653-1 W 8Th St 3Rd Floor, Lrc, Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mccullough, Deanna C can be contacted via phone (904) 244-3112.Contact Information
Primary practice address
653-1 W 8Th St 3Rd Floor, Lrc
Jacksonville FL 32209-6511
Phone: (904) 244-3112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME 125274 | Florida |
Profile Details
| NPI number | 1972708881 |
|---|---|
| LBN Legal business name | Mccullough, Deanna C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 3rd, 2016 - about 10 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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