Mccullers, Jonathan A

Mccullers, Jonathan A is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Mccullers, Jonathan A can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 28217 Tennessee

Profile Details

NPI number 1902809783
LBN Legal business name Mccullers, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 2nd, 2012 - 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 1902809783 NPPES
Iowa MEDICAID 0535716
Iowa MEDICAID Q28217
Iowa MEDICAID 1562645
Iowa MEDICAID 177291601
Iowa MEDICAID 3898345
Iowa MEDICAID 00121412
Iowa MEDICAID 205028509
Iowa MEDICAID 010195918
Iowa MEDICAID 100030710A
Iowa MEDICAID 137756001
Iowa MEDICAID 009914410
Iowa MEDICAID 422400000
Iowa MEDICAID 1145860 00

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