Cullen, Thomas Edward
Cullen, Thomas Edward is an individual health care provider with primary practice located at 777 Rural Ave , Williamsport PA 17701-3109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cullen, Thomas Edward can be contacted via phone (570) 321-2850.Contact Information
Primary practice address
777 Rural Ave
Williamsport PA 17701-3109
Phone: (570) 321-2850
Fax: (570) 321-2851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS006838L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS006838L | Pennsylvania |
Profile Details
| NPI number | 1730156043 |
|---|---|
| LBN Legal business name | Cullen, Thomas Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2006 |
| Last updated | Nov 29th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730156043 | NPPES |
| Pennsylvania | Other | 4329862 | AETNA |
| Pennsylvania | Other | 2518868 | AETNA |
| Pennsylvania | MEDICAID | 0011683200006 | AETNA |
| Pennsylvania | Other | E52803 | AETNA |
| Pennsylvania | Other | 433735 | AETNA |
| Pennsylvania | Other | 817858 | AETNA |
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