Mccullen, Bobby Kenneth

Mccullen, Bobby Kenneth is an individual health care provider with primary practice located at 2325 Aberdeen Blvd Ste A, Gastonia NC 28054-0614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mccullen, Bobby Kenneth can be contacted via phone (704) 853-3937.

Contact Information

Primary practice address
2325 Aberdeen Blvd Ste A Gastonia NC 28054-0614
Phone: (704) 853-3937
Fax: (704) 853-0840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 38135 North Carolina

Profile Details

NPI number 1457354284
LBN Legal business name Mccullen, Bobby Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 12th, 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 1457354284 NPPES
North Carolina Other 45612 MEDCOST
North Carolina MEDICAID 8956862 MEDCOST
North Carolina Other 11679 MEDCOST
North Carolina Other 56862 MEDCOST

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