Mccullough, Theresa
Mccullough, Theresa is an sole proprietor health care provider with primary practice located at 1102 Rose Hill Dr , Charlottesville VA 22903-5128. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mccullough, Theresa can be contacted via phone (434) 979-8628.Contact Information
Primary practice address
1102 Rose Hill Dr
Charlottesville VA 22903-5128
Phone: (434) 979-8628
Fax: (434) 979-8536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2305203454 | Virginia |
Profile Details
| NPI number | 1457477838 |
|---|---|
| LBN Legal business name | Mccullough, Theresa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1457477838 | NPPES |
| Virginia | Other | 209238 | SOUTHERN HEALTH |
| Virginia | Other | 7493361 | SOUTHERN HEALTH |
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