Callan, Leisha
Callan, Leisha is an sole proprietor health care provider with primary practice located at 1311 Fort St Suite L, Barling AR 72923-2045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Callan, Leisha can be contacted via phone (479) 965-5086.Contact Information
Primary practice address
1311 Fort St Suite L
Barling AR 72923-2045
Phone: (479) 965-5086
Fax: (877) 694-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR275 | Arkansas |
Profile Details
| NPI number | 1679559850 |
|---|---|
| LBN Legal business name | Callan, Leisha |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Oct 9th, 2012 - about 12 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 | 1679559850 | NPPES |
| Arkansas | Other | 5S592 | BLUE CROSS BLUE SHIELD |
| Arkansas | MEDICAID | 115954721 | BLUE CROSS BLUE SHIELD |
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