Cullen, Gloria Ann

Cullen, Gloria Ann is an individual health care provider with primary practice located at 21 S Roosevelt Ave , Pasadena CA 91107-4124. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Cullen, Gloria Ann can be contacted via phone (626) 796-4866.

Contact Information

Primary practice address
21 S Roosevelt Ave Pasadena CA 91107-4124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC12512 California

Profile Details

NPI number 1417003617
LBN Legal business name Cullen, Gloria Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2007
Last updated Jul 8th, 2007 - about 17 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 1417003617 NPPES
Other 953925033 FEDERAL TAX NUMBER

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