Callaway, Rachael E

Callaway, Rachael E is an individual health care provider with primary practice located at 770 Indian Boundary Rd Ste 200 , Chesterton IN 46304-1519. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Callaway, Rachael E can be contacted via phone (219) 921-2000.

Contact Information

Primary practice address
770 Indian Boundary Rd Ste 200 Chesterton IN 46304-1519
Phone: (219) 921-2000
Fax: (219) 395-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004230A Indiana

Profile Details

NPI number 1053663401
LBN Legal business name Callaway, Rachael E
Credentials RN, BSN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2012
Last updated Dec 23rd, 2022 - about 3 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 1053663401 NPPES
Indiana MEDICAID 2011131800

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