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Contact Information

CHARLES C CULL, DPM
1717 NAVAJO LAKE WAY
LAS VEGAS, NV89128-3283
 Phone: 702-596-5589
 Fax: 725-205-4844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHARLES C CULL · (Male)

NPI # 1275619603
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/27/2006
Last updated 10/28/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 07000745A
  • NV License # 1201
  • IN Medicaid 100407460
  • IN Other 07000745C CONTROLLED SUBSTANCE #
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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