Callahan, Carol A

Callahan, Carol A is an individual health care provider with primary practice located at 1817 Black Rock Tpke Ste 8, Fairfield CT 06825-3546. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Callahan, Carol A can be contacted via phone (203) 330-8080.

Contact Information

Primary practice address
1817 Black Rock Tpke Ste 8 Fairfield CT 06825-3546
Fax: (203) 334-6924
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00357 Connecticut

Profile Details

NPI number 1861485633
LBN Legal business name Callahan, Carol A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 4th, 2014 - about 10 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 1861485633 NPPES
Connecticut Other 5454010001 DME

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