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Contact Information

GABRIEL A CULLOM
2328 E 40TH ST
DES MOINES, IA50317-5624
 Phone: 515-422-0606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
Indicates primary specialty

NPI Profile & details for GABRIEL A CULLOM · (Male)

NPI # 1508126871
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2012
Last updated 05/21/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 3343
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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