Mccullough, Daniel John

Mccullough, Daniel John is an individual health care provider with primary practice located at 900 Cummings Ctr 107W, Beverly MA 01915-6198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccullough, Daniel John can be contacted via phone (978) 927-1859.

Contact Information

Primary practice address
900 Cummings Ctr 107W Beverly MA 01915-6198
Fax: (978) 927-2388
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 204646 Massachusetts

Profile Details

NPI number 1558397240
LBN Legal business name Mccullough, Daniel John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jan 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558397240 NPPES
Massachusetts MEDICAID 0115631

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