Wayne M Mccullough in Frankfort - Primary Podiatric Medicine
Wayne M Mccullough - NPI 1033284179
Wayne M Mccullough is a Primary Podiatric Medicine in Frankfort, Illinois. Wayne M Mccullough practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Wayne M Mccullough is 1033284179. The last update date is 2015-09-21.
Wayne M Mccullough's current location address is 21813 Cappel Ln, Frankfort, Illinois. You can contact this provider via phone number 9785496818 and fax number 8476740892. The mailing address for Wayne M Mccullough is 21813 Cappel Ln, Frankfort, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne M Mccullough |
|---|---|
| Address | 21813 Cappel Ln, Frankfort, Illinois |
| Phone Number | 9785496818 |
| Fax Number | 8476740892 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033284179 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2015-09-21 |
Provider Mailing Address Detail
| Address | 21813 Cappel Ln |
|---|---|
| City | Frankfort |
| State | Illinois (IL) |
| Post Code | 604232275 |
| Phone Number | 9785496818 |
| Fax Number | 8476740892 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 1939 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363037 | MA | -- |
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What is the unique 10-digit identification code issued to Wayne M Mccullough by the Centers for Medicare & Medicaid Services?
The Wayne M Mccullough has been assigned the NPI (National Provider Identifier) 1033284179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Wayne M Mccullough located?
The Wayne M Mccullough is located at 21813 Cappel Ln, Frankfort, IL 604232275.
What is Wayne M Mccullough's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wayne M Mccullough's specialized field of practice is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Ep1101X.
On what date was the 1033284179 assigned to Wayne M Mccullough?
The Wayne M Mccullough was issued its 1033284179 on 2006-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Wayne M Mccullough's details last updated?
The information pertaining to the Wayne M Mccullough, including its address, specialty, and other details, was most recently updated on 2015-09-21.