Mccullough, Teddi Lee

Mccullough, Teddi Lee is an individual health care provider with primary practice located at 833 Litchfield St , Wichita KS 67203-3106. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mccullough, Teddi Lee can be contacted via phone (316) 269-4539.

Contact Information

Primary practice address
833 Litchfield St Wichita KS 67203-3106
Phone: (316) 269-4539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Kansas

Profile Details

NPI number 1235387093
LBN Legal business name Mccullough, Teddi Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Sep 5th, 2008 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235387093 NPPES
Kansas Other 26-3288910 EMPLOYER INDENTIFICATION NUMBER-IRS

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