Mccullough, Brendan John
Mccullough, Brendan John is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Mccullough, Brendan John can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Ste 210
Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MEDS7777 | Alaska |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | M-12499 | Idaho |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60106629 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MEDS7777 | Alaska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-12499 | Idaho |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD60106629 | Washington |
Profile Details
| NPI number | 1497954317 |
|---|---|
| LBN Legal business name | Mccullough, Brendan John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Aug 28th, 2019 - about 5 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 | 1497954317 | NPPES |
| Alaska | MEDICAID | 1613891 | |
| Alaska | Other | 0317438 | |
| Alaska | MEDICAID | 1497954317 | |
| Alaska | Other | 0341837 | |
| Alaska | MEDICAID | 2018524 | |
| Alaska | Other | 0341836 | |
| Alaska | Other | 0341845 | |
| Alaska | Other | 0404021 |
Popular Providers
-
Pfleger, Mark J.
19020 33Rd Ave W Suite 210, Lynnwood WA 98036-4746 -
Jones, William Bradley
19020 33Rd Ave W Suite 210, Lynnwood WA 98036-4746 -
Vieco, Pedro T.
19020 33Rd Ave W Ste 210, Lynnwood WA 98036-4746 -
Prow, Harold W.
19020 33Rd Ave W Ste 210 , Lynnwood WA 98036 -
Chan, Alan D S
19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748 -
Jackson, Shari Marie
19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748 -
Kinder, Eric Anthony
19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748 -
Hebert, Kenneth John
19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748