Mccullough, Charles E.

Mccullough, Charles E. is an individual health care provider with primary practice located at 400 22Nd Ave. , Brookings SD 57006-2497. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Mccullough, Charles E. can be contacted via phone (605) 697-9500.

Contact Information

Primary practice address
400 22Nd Ave. Brookings SD 57006-2497
Phone: (605) 697-9500
Fax: (605) 697-6939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0560 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 0560 South Dakota

Profile Details

NPI number 1265484216
LBN Legal business name Mccullough, Charles E.
Credentials CPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 20th, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265484216 NPPES
South Dakota MEDICAID 5831322

Popular Providers