Mccullough, Levone
Mccullough, Levone is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mccullough, Levone can be contacted via phone (313) 593-7000.Contact Information
Primary practice address
18101 Oakwood Blvd
Dearborn MI 48124-4089
Phone: (313) 593-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704188362 | Michigan |
Profile Details
NPI number | 1750369054 |
---|---|
LBN Legal business name | Mccullough, Levone |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1750369054 | NPPES |
Michigan | MEDICAID | 11-4941109 | |
Michigan | MEDICAID | 10-4257067 | |
Michigan | MEDICAID | 11-4941074 | |
Michigan | MEDICAID | 10-4257076 | |
Michigan | MEDICAID | 11-4941083 | |
Michigan | MEDICAID | 11-4941092 | |
Michigan | MEDICAID | 10-4257094 | |
Michigan | MEDICAID | 10-4584187 | |
Michigan | MEDICAID | 10-4257085 | |
Michigan | Other | 5008666750 | |
Michigan | MEDICAID | 10-4257100 |
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