Cullen, Michael L

Cullen, Michael L is an sole proprietor health care provider with primary practice located at 4326 7Th St , Moline IL 61265-6867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Cullen, Michael L can be contacted via phone (309) 797-6611.

Contact Information

Primary practice address
4326 7Th St Moline IL 61265-6867
Phone: (309) 797-6611
Fax: (309) 797-7181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036078998 Illinois

Profile Details

NPI number 1164403598
LBN Legal business name Cullen, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Jun 16th, 2008 - about 16 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 1164403598 NPPES
Illinois MEDICAID 036078998
Illinois Other 094843
Illinois Other 08100424

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