Culligan, Brian
Culligan, Brian is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd Box 1337, Gallup NM 87301-1337. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Culligan, Brian can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E. Nizhoni Blvd Box 1337
Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1930 | Colorado |
Profile Details
| NPI number | 1942230610 |
|---|---|
| LBN Legal business name | Culligan, Brian |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942230610 | NPPES |
| New Mexico | MEDICAID | 000S0428 | |
| New Mexico | MEDICAID | 415241 |
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