Callan, Brad

Callan, Brad is an individual health care provider with primary practice located at 405 Nw Gilman Blvd Suite 200, Issaquah WA 98027-2470. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Callan, Brad can be contacted via phone (425) 392-6804.

Contact Information

Primary practice address
405 Nw Gilman Blvd Suite 200 Issaquah WA 98027-2470
Phone: (425) 392-6804
Fax: (425) 392-6805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008322 Washington

Profile Details

NPI number 1295772671
LBN Legal business name Callan, Brad
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 14th, 2012 - about 13 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 1295772671 NPPES
Washington MEDICAID 7131931

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