Mccullough, Charles Anthony
Mccullough, Charles Anthony is an sole proprietor health care provider with primary practice located at 880 Gretna Ln , Cincinnati OH 45240-2426. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as his primary health care specialty. Mccullough, Charles Anthony can be contacted via phone (513) 490-2510.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1174887202 |
|---|---|
| LBN Legal business name | Mccullough, Charles Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2012 |
| Last updated | Jul 3rd, 2012 - about 12 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 | 1174887202 | NPPES |
| Ohio | MEDICAID | 2884517 |
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