Individual
DR. EDWARD FRANCIS MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2625 MARTIN WAY E STE A, OLYMPIA, WA 98506-4900
(541) 779-8338
Mailing address
1633 SUMMIT LAKE SHORE RD NW, OLYMPIA, WA 98502-9437
(360) 810-5201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2296
TN
111N00000X
Chiropractor
4367-12
WI
111N00000X
Chiropractor
Primary
5731
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3672603
PTAN
TN
Enumeration date
01/31/2008
Last updated
07/13/2020
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