Mccullough, Tracey Lynn

Mccullough, Tracey Lynn is an individual health care provider with primary practice located at 1309 Sheldon Rd , Grand Haven MI 49417-2404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccullough, Tracey Lynn can be contacted via phone (616) 842-3600.

Contact Information

Primary practice address
1309 Sheldon Rd Grand Haven MI 49417-2404
Phone: (616) 842-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004691 Michigan

Profile Details

NPI number 1528159910
LBN Legal business name Mccullough, Tracey Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 22nd, 2019 - 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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