Mcculloch, Michael A

Mcculloch, Michael A is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22903-2824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Mcculloch, Michael A can be contacted via phone (434) 924-0123.

Contact Information

Primary practice address
1204 W Main St Charlottesville VA 22903-2824
Phone: (434) 924-0123
Fax: (434) 243-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101262131 Virginia
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101262131 Virginia

Profile Details

NPI number 1033324488
LBN Legal business name Mcculloch, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Aug 10th, 2023 - about last year

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 1033324488 NPPES
Maryland MEDICAID 4144660-00
Maryland MEDICAID 102117382

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