Mccollough, W Eugene

Mccollough, W Eugene is an individual health care provider with primary practice located at 1001 S State St , Hemet CA 92543-7635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccollough, W Eugene can be contacted via phone (951) 925-2525.

Contact Information

Primary practice address
1001 S State St Hemet CA 92543-7635
Phone: (951) 925-2525
Fax: (951) 929-8825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G9502 California

Profile Details

NPI number 1891886313
LBN Legal business name Mccollough, W Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated May 1st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891886313 NPPES
California MEDICAID 00G950200

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