Cull, Charles Cody

Cull, Charles Cody is an sole proprietor health care provider with primary practice located at 1717 Navajo Lake Way , Las Vegas NV 89128-3283. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cull, Charles Cody can be contacted via phone (702) 596-5589.

Contact Information

Primary practice address
1717 Navajo Lake Way Las Vegas NV 89128-3283
Phone: (702) 596-5589
Fax: (725) 205-4844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1201 Nevada
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000745A Indiana

Profile Details

NPI number 1275619603
LBN Legal business name Cull, Charles Cody
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Oct 28th, 2019 - about 5 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 1275619603 NPPES
Indiana MEDICAID 100407460
Indiana Other 07000745C

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