Mccallister, John A

Mccallister, John A is an individual health care provider with primary practice located at 6 E Chestnut St , Augusta ME 04330-5758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mccallister, John A can be contacted via phone (207) 623-2977.

Contact Information

Primary practice address
6 E Chestnut St Augusta ME 04330-5758
Phone: (207) 623-2977
Fax: (207) 626-9374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036073147 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 018027 Maine

Profile Details

NPI number 1154390268
LBN Legal business name Mccallister, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 19th, 2018 - about 6 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 1154390268 NPPES
Illinois MEDICAID 036073147
Illinois Other IL01T7
Illinois Other 07215036
Illinois MEDICAID 433395099

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