Mccullough, Madelaine Cathleen
Mccullough, Madelaine Cathleen is an sole proprietor health care provider with primary practice located at 8419 Kerbaugh Rd Ne , Olympia WA 98516-9349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccullough, Madelaine Cathleen can be contacted via phone (303) 359-1730.Contact Information
Primary practice address
8419 Kerbaugh Rd Ne
Olympia WA 98516-9349
Phone: (303) 359-1730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 61169119 | Washington |
Profile Details
| NPI number | 1225070923 |
|---|---|
| LBN Legal business name | Mccullough, Madelaine Cathleen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Sep 4th, 2023 - about last year |
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 | 1225070923 | NPPES |
| Colorado | MEDICAID | 25954555 |
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