Callahan, John Thomas
Callahan, John Thomas is an sole proprietor health care provider with primary practice located at 2235 Mission St Se Ste 150, Salem OR 97302-1294. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Callahan, John Thomas can be contacted via phone (503) 581-2505.Contact Information
Primary practice address
2235 Mission St Se Ste 150
Salem OR 97302-1294
Phone: (503) 581-2505
Fax: (503) 581-2515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP00297 | Oregon |
Profile Details
| NPI number | 1861496804 |
|---|---|
| LBN Legal business name | Callahan, John Thomas |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861496804 | NPPES |
| Oregon | MEDICAID | 138101 | |
| Oregon | Other | 067947000 | |
| Oregon | Other | 5156300001 |
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