Mccullum, Sheldon Charles

Mccullum, Sheldon Charles is an individual health care provider with primary practice located at 818 Kent Ave , West Lafayette IN 47906-1549. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mccullum, Sheldon Charles can be contacted via phone (502) 526-2201.

Contact Information

Primary practice address
818 Kent Ave West Lafayette IN 47906-1549
Phone: (502) 526-2201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05008586A Indiana

Profile Details

NPI number 1336364785
LBN Legal business name Mccullum, Sheldon Charles
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Sep 12th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336364785 NPPES
Indiana MEDICAID 200811390A

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