Mcculloch, Brandy D

Mcculloch, Brandy D is an individual health care provider with primary practice located at 2000 Pepperell Pkwy , Opelika AL 36801-5452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcculloch, Brandy D can be contacted via phone (334) 528-1112.

Contact Information

Primary practice address
2000 Pepperell Pkwy Opelika AL 36801-5452
Phone: (334) 528-1112
Fax: (334) 528-1547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-080202 Alabama

Profile Details

NPI number 1043276546
LBN Legal business name Mcculloch, Brandy D
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jul 18th, 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 1043276546 NPPES
Alabama Other 515-31508 BLUE CROSS OF AL PROV #
Alabama Other 559400210 BLUE CROSS OF AL PROV #
Alabama MEDICAID 891010412 BLUE CROSS OF AL PROV #

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