Mccullough, James Francis
Mccullough, James Francis is an individual health care provider with primary practice located at 343 Main Street Southbridge Spectacle Shop, Southbridge MA 01550. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mccullough, James Francis can be contacted via phone (508) 765-9607.Contact Information
Primary practice address
343 Main Street Southbridge Spectacle Shop
Southbridge MA 01550
Phone: (508) 765-9607
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | MA1543 | Massachusetts |
Profile Details
| NPI number | 1972666212 |
|---|---|
| LBN Legal business name | Mccullough, James Francis |
| Credentials | RDO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972666212 | NPPES |
| Massachusetts | MEDICAID | 1522191 |
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