Mccullough, Candina Ranee

Mccullough, Candina Ranee is an individual health care provider with primary practice located at 2000 Mon Health Medical Park Dr Ste 2100 , Morgantown WV 26505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccullough, Candina Ranee can be contacted via phone (304) 599-6811.

Contact Information

Primary practice address
2000 Mon Health Medical Park Dr Ste 2100 Morgantown WV 26505
Phone: (304) 599-6811
Fax: (304) 599-7159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-097575 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25595 West Virginia

Profile Details

NPI number 1730371295
LBN Legal business name Mccullough, Candina Ranee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 14th, 2018 - about 6 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 1730371295 NPPES
Ohio MEDICAID 0050433
Ohio MEDICAID 3810022173

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