Mcculloh, Thomas W
Mcculloh, Thomas W is an individual health care provider with primary practice located at 1104 Walnut Dr , Ardmore OK 73401-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcculloh, Thomas W can be contacted via phone (580) 226-0543.Contact Information
Primary practice address
1104 Walnut Dr
Ardmore OK 73401-2353
Phone: (580) 226-0543
Fax: (580) 226-2284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1878 | Oklahoma |
Profile Details
| NPI number | 1407879661 |
|---|---|
| LBN Legal business name | Mcculloh, Thomas W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 24th, 2022 - about 4 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 | 1407879661 | NPPES |
| Oklahoma | MEDICAID | 100106140C |
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