Jackson Cullison, Stephanie Renae

Jackson Cullison, Stephanie Renae is an individual health care provider with primary practice located at 3521 Silverside Rd Ste 1L , Wilmington DE 19810-4900. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Jackson Cullison, Stephanie Renae can be contacted via phone (302) 477-1991.

Contact Information

Primary practice address
3521 Silverside Rd Ste 1L Wilmington DE 19810-4900
Phone: (302) 477-1991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 303362 New York

Profile Details

NPI number 1457705956
LBN Legal business name Jackson Cullison, Stephanie Renae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2016
Last updated Aug 16th, 2021 - about 4 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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