Cullis, Jonathan

Cullis, Jonathan is an individual health care provider with primary practice located at 4200 Conestoga Dr , Springfield IL 62711-7962. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Cullis, Jonathan can be contacted via phone (217) 547-2410.

Contact Information

Primary practice address
4200 Conestoga Dr Springfield IL 62711-7962
Phone: (217) 547-2410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051.297101 Illinois

Profile Details

NPI number 1053721480
LBN Legal business name Cullis, Jonathan
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2014
Last updated May 7th, 2014 - about 10 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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