Callahan, Peter Joseph

Callahan, Peter Joseph is an individual health care provider with primary practice located at 1020 Winchester Ave , Martinsburg WV 25401-1650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Callahan, Peter Joseph can be contacted via phone (304) 886-4118.

Contact Information

Primary practice address
1020 Winchester Ave Martinsburg WV 25401-1650
Phone: (304) 886-4118
Fax: (304) 579-8606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP09966148 West Virginia

Profile Details

NPI number 1205834389
LBN Legal business name Callahan, Peter Joseph
Credentials LGSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Nov 18th, 2019 - about 5 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 1205834389 NPPES
West Virginia MEDICAID 3810000505

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