Callahan, Charles

Callahan, Charles is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Callahan, Charles can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD10524 Rhode Island

Profile Details

NPI number 1477577302
LBN Legal business name Callahan, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 17th, 2013 - about 11 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 1477577302 NPPES
Rhode Island Other 939025129 RI MEDICARE GROUP NUMBER
Rhode Island Other 007008870 RI MEDICARE GROUP NUMBER
Rhode Island Other 1477577302 RI MEDICARE GROUP NUMBER
Rhode Island Other 01/27/2009 RI MEDICARE GROUP NUMBER
Rhode Island Other 12/14/2006 RI MEDICARE GROUP NUMBER
Rhode Island MEDICAID 3156567 RI MEDICARE GROUP NUMBER
Rhode Island MEDICAID CC23905 RI MEDICARE GROUP NUMBER
Rhode Island Other 01-27-2009 RI MEDICARE GROUP NUMBER
Rhode Island Other 04/15/2009 RI MEDICARE GROUP NUMBER
Rhode Island Other 408343 RI MEDICARE GROUP NUMBER

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