Dom, Patrick Mccullough
Dom, Patrick Mccullough is an individual health care provider with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dom, Patrick Mccullough can be contacted via phone (410) 543-7375.Contact Information
Primary practice address
100 E Carroll St
Salisbury MD 21801-5422
Phone: (410) 543-7375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0062873 | Maryland |
Profile Details
| NPI number | 1568444552 |
|---|---|
| LBN Legal business name | Dom, Patrick Mccullough |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Sep 28th, 2007 - about 18 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 | 1568444552 | NPPES |
| Maryland | MEDICAID | 407816100 | |
| Maryland | Other | P00222914 |
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