Mccullough, Steven Glenn
Mccullough, Steven Glenn is an sole proprietor health care provider with primary practice located at 422 N Green St , Longview TX 75601-6458. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Mccullough, Steven Glenn can be contacted via phone (903) 234-9300.Contact Information
Primary practice address
422 N Green St
Longview TX 75601-6458
Phone: (903) 234-9300
Fax: (903) 234-8704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 101239 | Texas |
Profile Details
| NPI number | 1629379490 |
|---|---|
| LBN Legal business name | Mccullough, Steven Glenn |
| Credentials | C.O.L.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2010 |
| Last updated | Dec 5th, 2013 - about 11 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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