Calloway, James M.

Calloway, James M. is an individual health care provider with primary practice located at 704 W Rusk St , Mount Enterprise TX 75681-7427. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Calloway, James M. can be contacted via phone (903) 822-4014.

Contact Information

Primary practice address
704 W Rusk St Mount Enterprise TX 75681-7427
Phone: (903) 822-4014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 16448 Texas

Profile Details

NPI number 1013078096
LBN Legal business name Calloway, James M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 29th, 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 1013078096 NPPES
Texas MEDICAID LP0053183

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