Callaway, Bryan K

Callaway, Bryan K is an individual health care provider with primary practice located at 600 Lincoln Ave , Charleston IL 61920-3011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Callaway, Bryan K can be contacted via phone (217) 581-3015.

Contact Information

Primary practice address
600 Lincoln Ave Charleston IL 61920-3011
Phone: (217) 581-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Illinois

Profile Details

NPI number 1245220318
LBN Legal business name Callaway, Bryan K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 18 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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