Cullison, Timothy Alan
Cullison, Timothy Alan is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Cullison, Timothy Alan can be contacted via phone (386) 586-2022.Contact Information
Primary practice address
60 Memorial Medical Pkwy
Palm Coast FL 32164-5980
Phone: (386) 586-2022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 154277 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01037584 | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 154277 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01037584 | Indiana |
Profile Details
| NPI number | 1497798052 |
|---|---|
| LBN Legal business name | Cullison, Timothy Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Feb 29th, 2024 - about last year |
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 | 1497798052 | NPPES |
| Florida | Other | 154277 | FLORIDA DEPARTMENT OF HEALTH |
| Florida | Other | 01037584 | FLORIDA DEPARTMENT OF HEALTH |
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