Provider Demographics
NPI:1144230459
Name:LINNON, THERESE MCCULLOUGH (DO)
Entity Type:Individual
Prefix:DR
First Name:THERESE
Middle Name:MCCULLOUGH
Last Name:LINNON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:AKRON CHILDREN'S HOSPITAL PEDIATRICS-BOARDMAN
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-726-1664
Mailing Address - Fax:330-746-8025
Practice Address - Street 1:5000 E MARKET ST STE 30
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2259
Practice Address - Country:US
Practice Address - Phone:330-856-9699
Practice Address - Fax:330-746-8025
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009940208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics