Cullen, Edith M

Cullen, Edith M is an individual health care provider with primary practice located at 2310 California Rd , Elkhart IN 46514-1228. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Cullen, Edith M can be contacted via phone (574) 264-4163.

Contact Information

Primary practice address
2310 California Rd Elkhart IN 46514-1228
Phone: (574) 264-4163
Fax: (574) 262-9650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01061215A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01061215A Indiana

Profile Details

NPI number 1720073521
LBN Legal business name Cullen, Edith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Oct 23rd, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720073521 NPPES
Indiana MEDICAID 201092890

Popular Providers