Mccullough, Virginia
Mccullough, Virginia is an individual health care provider with primary practice located at 170 Morton St , Jamaica Plain MA 02130-3735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccullough, Virginia can be contacted via phone (617) 971-3788.Contact Information
Primary practice address
170 Morton St
Jamaica Plain MA 02130-3735
Phone: (617) 971-3788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 512 | Massachusetts |
Profile Details
| NPI number | 1811039662 |
|---|---|
| LBN Legal business name | Mccullough, Virginia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| 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.
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