Mccullar, Ethan M

Mccullar, Ethan M is an individual health care provider with primary practice located at 300 Werner St , Hot Springs AR 71913-6406. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mccullar, Ethan M can be contacted via phone (501) 622-1043.

Contact Information

Primary practice address
300 Werner St Hot Springs AR 71913-6406
Phone: (501) 622-1043
Fax: (501) 622-2033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-6528 Arkansas

Profile Details

NPI number 1518131283
LBN Legal business name Mccullar, Ethan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Jun 3rd, 2013 - about 12 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 1518131283 NPPES
Arkansas MEDICAID 440202001

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