Mccallister, Robert Edward
Mccallister, Robert Edward is an sole proprietor health care provider with primary practice located at 6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mccallister, Robert Edward can be contacted via phone (317) 299-3444.Contact Information
Primary practice address
6920 Parkdale Pl Ste 210
Indianapolis IN 46254-5611
Phone: (317) 299-3444
Fax: (317) 299-8709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01030428 | Indiana |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 01030428 | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 01030428 | Indiana |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 01030428 | Indiana |
Profile Details
| NPI number | 1174526917 |
|---|---|
| LBN Legal business name | Mccallister, Robert Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Nov 23rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174526917 | NPPES |
| Indiana | Other | 000000087049 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 351711573 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 070001836 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 0004359769 | ANTHEM PROVIDER NUMBER |
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