Mccullough, Nicole S

Mccullough, Nicole S is an sole proprietor health care provider with primary practice located at 2516 Westbrook Dr , Franklin Park IL 60131-3238. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Mccullough, Nicole S can be contacted via phone (773) 553-9648.

Contact Information

Primary practice address
2516 Westbrook Dr Franklin Park IL 60131-3238
Phone: (773) 553-9648
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1225789639
LBN Legal business name Mccullough, Nicole S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2022
Last updated Jan 17th, 2022 - about 3 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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