Individual
DR. SHELDON CHARLES MCCULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
818 KENT AVE, WEST LAFAYETTE, IN 47906-1549
(502) 526-2201
Mailing address
818 KENT AVE, WEST LAFAYETTE, IN 47906-1549
(502) 526-2201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200811390A
—
IN
Enumeration date
04/13/2007
Last updated
09/12/2012
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