Organization
MCCULLOUGH FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E MCCULLOUGH D.C. (CHIROPRACTOR/OWNER)
(269) 964-3300
Entity
Organization
Contact information
Practice address
1346 COLUMBIA AVE W, SUITE 101, BATTLE CREEK, MI 49015-3067
(269) 964-3300
(269) 964-3366
Mailing address
1346 COLUMBIA AVE W, SUITE 101, BATTLE CREEK, MI 49015-3067
(269) 964-3300
(269) 964-3366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MM007869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A311080
BCBS OF MICHIGAN
—
01
—
DB4802
MEDICARE RAILROAD
MI
Enumeration date
11/07/2007
Last updated
10/30/2012
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