Mccullough, Daniel
Mccullough, Daniel is an individual health care provider with primary practice located at 8891 Central Ave Suite A, Montclair CA 91763-1618. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccullough, Daniel can be contacted via phone (909) 297-3361.Contact Information
Primary practice address
8891 Central Ave Suite A
Montclair CA 91763-1618
Phone: (909) 297-3361
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 53829 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 8672 | Arizona |
Profile Details
NPI number | 1992259071 |
---|---|
LBN Legal business name | Mccullough, Daniel |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 7th, 2016 |
Last updated | Nov 29th, 2021 - about 4 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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