Provider Demographics
NPI:1669033049
Name:CULLEN, WILLIAM JOSPEH (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSPEH
Last Name:CULLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 HUNGERFORD DR STE 510
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5103
Mailing Address - Country:US
Mailing Address - Phone:301-738-1148
Mailing Address - Fax:
Practice Address - Street 1:451 HUNGERFORD DR STE 510
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5103
Practice Address - Country:US
Practice Address - Phone:301-738-1148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS04013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor