Mccullough, Michael Burks

Mccullough, Michael Burks is an sole proprietor health care provider with primary practice located at 3929 N Gloster St , Tupelo MS 38804-0915. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccullough, Michael Burks can be contacted via phone (662) 840-4624.

Contact Information

Primary practice address
3929 N Gloster St Tupelo MS 38804-0915
Phone: (662) 840-4624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 983 Mississippi

Profile Details

NPI number 1639656523
LBN Legal business name Mccullough, Michael Burks
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2018
Last updated Jul 24th, 2018 - about 6 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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