Callison, James

Callison, James is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Callison, James can be contacted via phone (404) 563-5057.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Phone: (404) 563-5057
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN141273 Georgia

Profile Details

NPI number 1891794624
LBN Legal business name Callison, James
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Nov 17th, 2020 - about 4 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 1891794624 NPPES
Georgia MEDICAID 209444535A
Georgia MEDICAID 209444535C
Georgia MEDICAID 209444535E

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