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Contact Information

CHARLES E MCCULLOUGH, CPT
400 22ND AVE.
BROOKINGS, SD57006-2497
 Phone: 605-697-9500
 Fax: 605-697-6939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CHARLES E MCCULLOUGH · (Male)

NPI Number 1265484216
Status Active
Credentials CPT
Entity Individual
Enumeration date 05/17/2006
Last updated 03/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0560
  • SD Medicaid 5831322
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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