Cullen, Stephen B

Cullen, Stephen B is an individual health care provider with primary practice located at 970 E Washington St Suite 4 B, Medina OH 44256-3332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cullen, Stephen B can be contacted via phone (330) 723-3256.

Contact Information

Primary practice address
970 E Washington St Suite 4 B Medina OH 44256-3332
Fax: (330) 722-6731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35080199C Ohio

Profile Details

NPI number 1740250802
LBN Legal business name Cullen, Stephen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 9th, 2012 - about 13 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 1740250802 NPPES
Ohio Other 000000224712 ANTHEM
Ohio Other 736 ANTHEM
Ohio Other 080185101 ANTHEM
Ohio MEDICAID 2337288 ANTHEM
Ohio Other 98517 ANTHEM

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