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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730371295 | NPPES |
| Ohio | MEDICAID | 0050433 | |
| Ohio | MEDICAID | 3810022173 |
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