Callison, Amy Leanne

Callison, Amy Leanne is an individual health care provider with primary practice located at 102 N Denver Ave , Tulsa OK 74103-1806. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Callison, Amy Leanne can be contacted via phone (918) 852-1200.

Contact Information

Primary practice address
102 N Denver Ave Tulsa OK 74103-1806
Phone: (918) 852-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 134688 Oklahoma

Profile Details

NPI number 1164297651
LBN Legal business name Callison, Amy Leanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2023
Last updated May 31st, 2024 - about last year

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 1164297651 NPPES
Oklahoma MEDICAID 1457537037

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