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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407840812 NPPES
Indiana MEDICAID 200499880
Indiana MEDICAID 64089188
Indiana MEDICAID 2048733

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