Active NPIIndividual provider

Colin A Mccullough, ATC, CSCS

Specialist/Technologist, Athletic Trainer in Chestnut Hill, Massachusetts

NPI Number1770875924
Practice location
140 Commonwealth Ave, Yawkey Center- Room 108, Chestnut Hill, MA 02467-3800
Fax
617-552-9101
Last updated
May 6, 2011

Colin Alexander Mccullough is a Specialist/Technologist, Athletic Trainer based in Chestnut Hill, MA. Colin Alexander Mccullough practices in Chestnut Hill, MA and has the professional credentials of ATC, CSCS. The NPI Number for Colin Alexander Mccullough is 1770875924 and holds a License No. 2096 (MA). The current practice location address for Colin Alexander Mccullough is 140 Commonwealth Ave, Yawkey Center- Room 108, Chestnut Hill, MA 02467-3800 and can be reached out via phone at 617-552-9113 and via fax at 617-552-9101.

Provider Profile Details

NPI Number
1770875924
Provider Name
Colin Alexander Mccullough
Credential
ATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
140 Commonwealth Ave, Yawkey Center- Room 108, Chestnut Hill, MA 02467-3800
Phone Number
617-552-9113
Fax Number
617-552-9101
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
May 6, 2011
Last Update Date
May 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Commonwealth Ave
Yawkey Center- Room 108
Chestnut Hill, MA 02467-3800
Zip
02467-3800
Phone Number
617-552-9113
Fax Number
617-552-9101
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
41 Strathmore RD Apt 6
Brighton, MA 02135-7935
City
Brighton
State
MA
Zip
02135-7935
Phone Number
413-329-6826

License Information

License Number
2096
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colin A Mccullough, ATC, CSCS?

The NPI number of Colin A Mccullough, ATC, CSCS is 1770875924. It was assigned on May 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Colin A Mccullough, ATC, CSCS?

Colin A Mccullough, ATC, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2096.

Where does Colin A Mccullough, ATC, CSCS practice?

The practice location is 140 Commonwealth Ave, Yawkey Center- Room 108, Chestnut Hill, MA 02467-3800. The office can be reached at 617-552-9113 (phone) or 617-552-9101 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770875924 directly on the NPPES registry website.

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