Callahan, Tyler

Callahan, Tyler is an individual health care provider with primary practice located at 3499 E Fairview Ave , Meridian ID 83642-5848. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Callahan, Tyler can be contacted via phone (208) 605-3755.

Contact Information

Primary practice address
3499 E Fairview Ave Meridian ID 83642-5848
Phone: (208) 605-3755
Fax: (208) 605-3754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CT44252 Idaho

Profile Details

NPI number 1154989440
LBN Legal business name Callahan, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2019
Last updated May 31st, 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 1154989440 NPPES
Idaho MEDICAID 1275010357

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