Mcculloch, Thomas Harvey

Mcculloch, Thomas Harvey is an individual health care provider with primary practice located at 405 N Section St , Fairhope AL 36532-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcculloch, Thomas Harvey can be contacted via phone (251) 990-8860.

Contact Information

Primary practice address
405 N Section St Fairhope AL 36532-2613
Phone: (251) 990-8860
Fax: (251) 990-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9298 Alabama

Profile Details

NPI number 1750383790
LBN Legal business name Mcculloch, Thomas Harvey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 18th, 2008 - about 16 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 1750383790 NPPES
Alabama Other 51540979 BCBS
Alabama MEDICAID 9910667 BCBS
Alabama Other P00457381 BCBS
Alabama Other 1750383790 BCBS

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