Black, Callie G.

Black, Callie G. is an individual health care provider with primary practice located at 10400 E Alameda Ave , Denver CO 80247-5104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Black, Callie G. can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10400 E Alameda Ave Denver CO 80247-5104
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0042742 Colorado
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 42742 Colorado

Profile Details

NPI number 1679658322
LBN Legal business name Black, Callie G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679658322 NPPES
Colorado MEDICAID 86471767
Colorado Other 017648

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