Cullis, Cass M

Cullis, Cass M is an individual health care provider with primary practice located at 3006 N County Road 25A Ste 104, Troy OH 45373-1373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cullis, Cass M can be contacted via phone (937) 335-3518.

Contact Information

Primary practice address
3006 N County Road 25A Ste 104 Troy OH 45373-1373
Fax: (937) 332-6857
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.041154 Ohio

Profile Details

NPI number 1982607172
LBN Legal business name Cullis, Cass M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 2nd, 2013 - about 11 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 1982607172 NPPES
Ohio MEDICAID 0472939

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