Cullen, Jeffrey P

Cullen, Jeffrey P is an individual health care provider with primary practice located at 701 N 1St St # Stq , Springfield IL 62781-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cullen, Jeffrey P can be contacted via phone (217) 788-3245.

Contact Information

Primary practice address
701 N 1St St # Stq Springfield IL 62781-0001
Phone: (217) 788-3245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036055252 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2017013708 Missouri

Profile Details

NPI number 1861463101
LBN Legal business name Cullen, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 29th, 2021 - about 3 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 1861463101 NPPES
Illinois MEDICAID 036055252

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