Mccullough, Mary Ellen K
Mccullough, Mary Ellen K is an individual health care provider with primary practice located at 5525 Marie Ave , Cincinnati OH 45248-3200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Mccullough, Mary Ellen K can be contacted via phone (513) 751-2273.Contact Information
Primary practice address
5525 Marie Ave
Cincinnati OH 45248-3200
Phone: (513) 751-2273
Fax: (513) 574-7062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 35069652 | Ohio |
Profile Details
| NPI number | 1407840812 |
|---|---|
| LBN Legal business name | Mccullough, Mary Ellen K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Nov 7th, 2012 - about 12 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 | 1407840812 | NPPES |
| Indiana | MEDICAID | 200499880 | |
| Indiana | MEDICAID | 64089188 | |
| Indiana | MEDICAID | 2048733 |
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