Mcculloch, Nyla
Mcculloch, Nyla is an sole proprietor health care provider with primary practice located at 1 W Water St Suite 201, Wakefield MA 01880-2907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcculloch, Nyla can be contacted via phone (781) 245-8185.Contact Information
Primary practice address
1 W Water St Suite 201
Wakefield MA 01880-2907
Phone: (781) 245-8185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 105934 | Massachusetts |
Profile Details
| NPI number | 1477678076 |
|---|---|
| LBN Legal business name | Mcculloch, Nyla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477678076 | NPPES |
| Massachusetts | Other | P04787 | BLUE CROSS BLUE SHIELD |
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