Cullen, Timothy R
Cullen, Timothy R is an individual health care provider with primary practice located at 520 S 7Th St , Vincennes IN 47591-1038. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cullen, Timothy R can be contacted via phone (812) 885-3685.Contact Information
Primary practice address
520 S 7Th St
Vincennes IN 47591-1038
Phone: (812) 885-3685
Fax: (812) 885-3917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 02001340A | Indiana |
Profile Details
| NPI number | 1912992363 |
|---|---|
| LBN Legal business name | Cullen, Timothy R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jan 21st, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912992363 | NPPES |
| Indiana | MEDICAID | 100089620 | |
| Indiana | Other | 000000216834 |
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