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Contact Information

CHARLES S CULLISON, DO
4700 LAS VEGAS BLVD N
NELLIS AFB, NV89191-6600
 Phone: 702-653-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHARLES S CULLISON · (Male)

NPI # 1578025912
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/04/2019
Last updated 02/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # DO3314
  • TX License # BP10066642
  • TX License # T0457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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