Callahan, Richard Q
Callahan, Richard Q is an individual health care provider with primary practice located at 111 Colchester Ave Dermatology - Acc/Wp-5, Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Callahan, Richard Q can be contacted via phone (802) 847-4570.Contact Information
Primary practice address
111 Colchester Ave Dermatology - Acc/Wp-5
Burlington VT 05401-1473
Phone: (802) 847-4570
Fax: (802) 847-3364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 055-0030786 | Vermont |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 055-0030786 | Vermont |
Profile Details
| NPI number | 1891785671 |
|---|---|
| LBN Legal business name | Callahan, Richard Q |
| Credentials | MSPA, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891785671 | NPPES |
| Vermont | Other | 055-0030786 | LICENSE |
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