Mccullough, Willie
Mccullough, Willie is an sole proprietor health care provider with primary practice located at 23751 Coyle St , Oak Park MI 48237-1929. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mccullough, Willie can be contacted via phone (248) 506-5891.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401013637 | Michigan |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 261QA0600X | Michigan |
Profile Details
NPI number | 1104292127 |
---|---|
LBN Legal business name | Mccullough, Willie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 13th, 2015 |
Last updated | Aug 13th, 2015 - about 10 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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