Mccallum, David Harley
Mccallum, David Harley is an sole proprietor health care provider with primary practice located at 14700 King Rd Ste A , Riverview MI 48193-7909. He recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mccallum, David Harley can be contacted via phone (734) 479-1944.Contact Information
Primary practice address
14700 King Rd Ste A
Riverview MI 48193-7909
Phone: (734) 479-1944
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | 4704236050 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704236050 | Michigan |
Profile Details
NPI number | 1205236973 |
---|---|
LBN Legal business name | Mccallum, David Harley |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 29th, 2014 |
Last updated | Jan 8th, 2020 - about 5 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 | 1205236973 | NPPES |
Michigan | Other | 4704236050 | MI LICENSE |
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