Mcculloch, Keith Charles

Mcculloch, Keith Charles is an sole proprietor health care provider with primary practice located at 13741 Foothill Blvd , Sylmar CA 91342-3133. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mcculloch, Keith Charles can be contacted via phone (818) 833-9789.

Contact Information

Primary practice address
13741 Foothill Blvd Sylmar CA 91342-3133
Phone: (818) 833-9789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1609050871
LBN Legal business name Mcculloch, Keith Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - about 17 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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