Callahan, Diane K

Callahan, Diane K is an individual health care provider with primary practice located at 74 Eclipse Ctr , Beloit WI 53511-3550. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Callahan, Diane K can be contacted via phone (608) 361-6048.

Contact Information

Primary practice address
74 Eclipse Ctr Beloit WI 53511-3550
Phone: (608) 361-6048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 5539016 Wisconsin

Profile Details

NPI number 1942441944
LBN Legal business name Callahan, Diane K
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Mar 20th, 2009 - about 17 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 1942441944 NPPES
Wisconsin Other 5539016 STATE OF WISCONSIN LICENSE NUMBER

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