Callen, Wayne Leon

Callen, Wayne Leon is an individual health care provider with primary practice located at 825 W 6Th St , Leadville CO 80461-2205. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Callen, Wayne Leon can be contacted via phone (719) 486-1264.

Contact Information

Primary practice address
825 W 6Th St Leadville CO 80461-2205
Phone: (719) 486-1264
Fax: (719) 486-1286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1326100249
LBN Legal business name Callen, Wayne Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326100249 NPPES
Colorado MEDICAID 01220813

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