Mccullough, Janis
Mccullough, Janis is an sole proprietor health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. She 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 / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mccullough, Janis can be contacted via phone (425) 339-5419.Contact Information
Primary practice address
3927 Rucker Ave
Everett WA 98201-4833
Phone: (425) 339-5419
Fax: (425) 339-4219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00009666 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00004049 | Washington |
Profile Details
| NPI number | 1083755888 |
|---|---|
| LBN Legal business name | Mccullough, Janis |
| Credentials | PT, OT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | May 16th, 2014 - about 10 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 | 1083755888 | NPPES |
| Washington | MEDICAID | 8439648 |
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