Cullom, Sumner R
Cullom, Sumner R is an sole proprietor health care provider with primary practice located at 260 W Broad St , Lepanto AR 72354-0723. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cullom, Sumner R can be contacted via phone (870) 475-3180.Contact Information
Primary practice address
260 W Broad St
Lepanto AR 72354-0723
Phone: (870) 475-3180
Fax: (870) 475-3185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ARC4583 | Arkansas |
Profile Details
| NPI number | 1902885015 |
|---|---|
| LBN Legal business name | Cullom, Sumner R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Mar 18th, 2016 - about 9 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 | 1902885015 | NPPES |
| Arkansas | MEDICAID | 103504001 |
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