Callahan, Michael

Callahan, Michael is an individual health care provider with primary practice located at 1055 N 500 W , Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Callahan, Michael can be contacted via phone (801) 763-3885.

Contact Information

Primary practice address
1055 N 500 W Provo UT 84604-3305
Phone: (801) 763-3885
Fax: (801) 763-3887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 160421-1205 Utah

Profile Details

NPI number 1104864651
LBN Legal business name Callahan, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104864651 NPPES
Utah MEDICAID 870281028000
Utah Other 36397
Utah Other P00124656
Utah Other 215835
Utah Other 78392
Utah Other 107006256103
Utah Other 3362695
Utah Other 09-00529

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