Callaghan, Edward
Callaghan, Edward is an individual health care provider with primary practice located at 625 E Broadway Ave , Jackson WY 83001-8642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Callaghan, Edward can be contacted via phone (307) 733-6418.Contact Information
Primary practice address
625 E Broadway Ave
Jackson WY 83001-8642
Phone: (307) 733-6418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 8556 | Montana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 11692A | Wyoming |
Profile Details
| NPI number | 1013969211 |
|---|---|
| LBN Legal business name | Callaghan, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jan 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013969211 | NPPES |
| Montana | MEDICAID | 0000013515 |
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