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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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