Mccullough, John Scott
Mccullough, John Scott is an individual health care provider with primary practice located at 1771 Madison St , Clarksville TN 37043-4990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mccullough, John Scott can be contacted via phone (931) 551-1939.Contact Information
Primary practice address
1771 Madison St
Clarksville TN 37043-4990
Phone: (931) 551-1939
Fax: (931) 221-2236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 34439 | Tennessee |
Profile Details
| NPI number | 1558333062 |
|---|---|
| LBN Legal business name | Mccullough, John Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Feb 29th, 2008 - about 16 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 | 1558333062 | NPPES |
| Tennessee | MEDICAID | 3858460 |
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